Penny L. Montieth

Individual provider Active NPI Attendant Care Provider · Junction, TX

NPI 1174174288 · NPPES record last updated Sep 20, 2019

Key facts

NPI
1174174288
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
398 SD 28525
Junction, TX 76849-6246
Phone
(830) 640-3360
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X Yes

Addresses

Primary practice location

398 SD 28525
Junction, TX 76849-6246

Mailing address

398 SD 28525
Junction, TX 76849-6246
Phone (830) 640-3360

Other providers in Junction, TX

All providers in Junction, TX · Attendant Care Provider in Texas

Sources for this page

Verify at the official NPI Registry.