Montgomery, Chandra L

Montgomery, Chandra L is an individual health care provider with primary practice located at 1174 Idlewood Dr , Waco TX 76705-5238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Montgomery, Chandra L can be contacted via phone (254) 214-2558.

Contact Information

Primary practice address
1174 Idlewood Dr Waco TX 76705-5238
Phone: (254) 214-2558
Fax: (254) 582-5518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 636019 Texas

Profile Details

NPI number 1124186507
LBN Legal business name Montgomery, Chandra L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jun 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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