Provider Demographics
NPI:1811964166
Name:MONTEMAYOR, FRANCISCO J (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:J
Last Name:MONTEMAYOR
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7254 BLANCO RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4930
Mailing Address - Country:US
Mailing Address - Phone:210-342-3838
Mailing Address - Fax:210-342-7705
Practice Address - Street 1:7254 BLANCO RD
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4930
Practice Address - Country:US
Practice Address - Phone:210-342-3838
Practice Address - Fax:210-342-7705
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4365208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127111605OtherTPI
TXP000496M8Medicaid
TX00496MMedicare ID - Type Unspecified
TXP000496M8Medicaid