Montgomery, John

Montgomery, John is an individual health care provider with primary practice located at 501 Midwestern Pkwy E , Wichita Falls TX 76302-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Montgomery, John can be contacted via phone (940) 766-3551.

Contact Information

Primary practice address
501 Midwestern Pkwy E Wichita Falls TX 76302-2302
Fax: (940) 763-7817
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X F9843 Texas

Profile Details

NPI number 1134107261
LBN Legal business name Montgomery, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated May 6th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134107261 NPPES
Texas MEDICAID 0390494-01

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