Provider Demographics
NPI:1265718167
Name:MONTES, RAUL (LMSW-IPR)
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:
Last Name:MONTES
Suffix:
Gender:M
Credentials:LMSW-IPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11660 SHAPLEIGH CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-3336
Mailing Address - Country:US
Mailing Address - Phone:915-268-0119
Mailing Address - Fax:
Practice Address - Street 1:11660 SHAPLEIGH CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3336
Practice Address - Country:US
Practice Address - Phone:915-269-0119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03455171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator