Provider Demographics
NPI:1821609827
Name:MONTERIA, DEONTE LYNELL
Entity Type:Individual
Prefix:
First Name:DEONTE
Middle Name:LYNELL
Last Name:MONTERIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11811 NORTH FWY STE 555
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3245
Mailing Address - Country:US
Mailing Address - Phone:346-348-4851
Mailing Address - Fax:
Practice Address - Street 1:11811 NORTH FWY STE 555
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3245
Practice Address - Country:US
Practice Address - Phone:346-348-4851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker