Montgomery, Rosario

Montgomery, Rosario is an sole proprietor health care provider with primary practice located at 2027 S 61St St Ste 125, Temple TX 76504-6817. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Montgomery, Rosario can be contacted via phone (254) 721-0996.

Contact Information

Primary practice address
2027 S 61St St Ste 125 Temple TX 76504-6817
Phone: (254) 721-0996
Fax: (254) 265-7504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25450 Texas

Profile Details

NPI number 1164482600
LBN Legal business name Montgomery, Rosario
Credentials P.H.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Nov 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164482600 NPPES
Texas Other 680012940 RR/MEDICARE
Texas MEDICAID 0403354-01 RR/MEDICARE
Texas Other 82374P RR/MEDICARE

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