Provider Demographics
NPI:1770931537
Name:MONTELONGO, JOSE SIMON JR (DO)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:SIMON
Last Name:MONTELONGO
Suffix:JR
Gender:
Credentials:DO
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Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:346-333-2770
Mailing Address - Fax:281-336-1614
Practice Address - Street 1:600 N KOBAYASHI STE 210
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:346-333-2770
Practice Address - Fax:281-336-1614
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2025-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXS97512086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery