Linda Sue Montgomery, CPHT

Individual provider Active NPI Pharmacy Technician · Bridgeport, TX

NPI 1043324239 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043324239
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
116533 (TX)
Practice address
1026 Halsell St
Bridgeport, TX 76426-3030
Phone
(940) 683-2950
Fax
(940) 683-8059
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116533TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 116533 TX Yes

Addresses

Primary practice location

1026 Halsell St
Bridgeport, TX 76426-3030

Mailing address

1404 Shirley St
Bridgeport, TX 76426-2606
Phone (940) 683-5337

Other identifiers

IdentifierTypeStateIssuer
116533OtherTXCPHT

Other providers in Bridgeport, TX

All providers in Bridgeport, TX · Pharmacy Technician in Texas

Sources for this page

Verify at the official NPI Registry.