Provider Demographics
NPI:1396820148
Name:MONTEZ, HECTOR HOMERO (PT, LOT)
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:HOMERO
Last Name:MONTEZ
Suffix:
Gender:M
Credentials:PT, LOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 CREEK WOOD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-2883
Mailing Address - Country:US
Mailing Address - Phone:956-541-2329
Mailing Address - Fax:
Practice Address - Street 1:501 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8055
Practice Address - Country:US
Practice Address - Phone:956-668-0044
Practice Address - Fax:956-687-9747
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049237225100000X
TX101058225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist