Provider Demographics
NPI:1801806286
Name:STAVIS, MONTE I (MD)
Entity type:Individual
Prefix:DR
First Name:MONTE
Middle Name:I
Last Name:STAVIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:STE 334
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
Mailing Address - Country:US
Mailing Address - Phone:713-467-4448
Mailing Address - Fax:713-467-3041
Practice Address - Street 1:909 FROSTWOOD DR
Practice Address - Street 2:STE 334
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-467-4448
Practice Address - Fax:713-467-3041
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF8684207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089675501Medicaid
TX089675501Medicaid
00NK16Medicare PIN