Provider Demographics
NPI:1174746895
Name:MONTES, VERONICA
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:MONTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 RED RIVER TRL
Mailing Address - Street 2:APT 1022
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4523
Mailing Address - Country:US
Mailing Address - Phone:214-333-7050
Mailing Address - Fax:214-333-7097
Practice Address - Street 1:1353 N WESTMORELAND RD
Practice Address - Street 2:BUILDING F
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1655
Practice Address - Country:US
Practice Address - Phone:214-333-7050
Practice Address - Fax:214-333-7097
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator