Provider Demographics
NPI:1366645368
Name:MONTES FAMILY MEDICINE ASSOC
Entity Type:Organization
Organization Name:MONTES FAMILY MEDICINE ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:M D D A B F M F AAP
Authorized Official - Phone:713-661-4344
Mailing Address - Street 1:1065 GESSNER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6040
Mailing Address - Country:US
Mailing Address - Phone:713-661-4344
Mailing Address - Fax:713-666-0605
Practice Address - Street 1:1065 GESSNER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6040
Practice Address - Country:US
Practice Address - Phone:713-661-4344
Practice Address - Fax:713-666-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AC890OtherBLUECROSS BLUESHILED
TX00Y852Medicare PIN