Provider Demographics
NPI:1649451303
Name:LAMONTAGNE, DARCI (CPNP)
Entity type:Individual
Prefix:
First Name:DARCI
Middle Name:
Last Name:LAMONTAGNE
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Gender:
Credentials:CPNP
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Other - First Name:
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Mailing Address - Street 1:895 N NOLAN RIVER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-1250
Mailing Address - Country:US
Mailing Address - Phone:817-641-8800
Mailing Address - Fax:817-641-8803
Practice Address - Street 1:895 N NOLAN RIVER RD STE 101
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-1250
Practice Address - Country:US
Practice Address - Phone:817-641-8800
Practice Address - Fax:817-641-8803
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP116279363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics