Provider Demographics
NPI:1639131469
Name:MONTOYA, MONICA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LYNN
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:LYNN
Other - Last Name:MONTOYA-COTROPIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:17045 EL CAMINO REAL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2649
Mailing Address - Country:US
Mailing Address - Phone:281-794-5531
Mailing Address - Fax:
Practice Address - Street 1:17045 EL CAMINO REAL
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2649
Practice Address - Country:US
Practice Address - Phone:281-794-5531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor