Eusebio M Montejo MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N3905 Issued in TX

Legal business name

EUSEBIO M MONTEJO MD INC

Practice address

315 E 5TH St
Alice, TX 78332-4605

Phone

(361) 668-9600

NPI assigned

Nov 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eusebio M Montejo, MD

Title

President

Phone

(361) 668-9600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272067200000",
    "number": "1174850218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3159",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783333159",
            "telephone_number": "361-668-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324605",
            "telephone_number": "361-668-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUSEBIO M MONTEJO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-04-24",
        "status": "A",
        "authorized_official_last_name": "MONTEJO",
        "authorized_official_first_name": "EUSEBIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-668-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.