Provider Demographics
NPI:1982710075
Name:ATTAR, MONZER (MD)
Entity Type:Individual
Prefix:
First Name:MONZER
Middle Name:
Last Name:ATTAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 22ND PLACE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410
Mailing Address - Country:US
Mailing Address - Phone:806-780-7471
Mailing Address - Fax:806-780-7495
Practice Address - Street 1:3425 22ND PLACE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-780-7471
Practice Address - Fax:806-780-7495
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4707207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130463605Medicaid
TX107793100OtherFIRST CARS
TX00H627OtherBCBS
B20994Medicare UPIN
TX107793100OtherFIRST CARS