Provider Demographics
NPI:1558483099
Name:MONTES, CHRISTOPHER B (OTR, ATP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:MONTES
Suffix:
Gender:M
Credentials:OTR, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14738 TIMBERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-8008
Mailing Address - Country:US
Mailing Address - Phone:713-876-9801
Mailing Address - Fax:713-983-4600
Practice Address - Street 1:9220 KIRBY DR STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2535
Practice Address - Country:US
Practice Address - Phone:713-791-1011
Practice Address - Fax:713-791-1047
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109372225X00000X
247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180182101Medicaid