Provider Demographics
NPI:1295521409
Name:MONTEMAYOR, RAMON ANTONIO (DC)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:ANTONIO
Last Name:MONTEMAYOR
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 ATLAS PEAR DR APT 3112
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77807-1496
Mailing Address - Country:US
Mailing Address - Phone:806-535-2701
Mailing Address - Fax:
Practice Address - Street 1:11671 FM 2154 RD STE 150
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-7830
Practice Address - Country:US
Practice Address - Phone:979-432-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16071111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor