Provider Demographics
NPI:1780096842
Name:MONTES, LAURA IGLESIAS (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:IGLESIAS
Last Name:MONTES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7017 N 10TH ST STE N2
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3288
Mailing Address - Country:US
Mailing Address - Phone:956-605-6104
Mailing Address - Fax:956-783-0291
Practice Address - Street 1:1700 W DOVE AVE STE 80
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4464
Practice Address - Country:US
Practice Address - Phone:956-608-6700
Practice Address - Fax:956-783-0291
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-23
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2177207Q00000X, 207QB0002X
TXBP10051249390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program