Provider Demographics
NPI:1679707269
Name:MONTES, JORGE ANTONIO (MD)
Entity Type:Individual
Prefix:MR
First Name:JORGE
Middle Name:ANTONIO
Last Name:MONTES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-2171
Mailing Address - Fax:956-362-3614
Practice Address - Street 1:4500 N 10TH ST STE 100
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4692
Practice Address - Country:US
Practice Address - Phone:956-362-2070
Practice Address - Fax:956-362-2074
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2021-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP4895207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286367YK00Medicare PIN