Most Relevant Information
Provider Data
| NPI Number: | 1003319823 |
| Provider Name: | PENNY ANN MONTGOMERY LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 179415 |
Most Important Dates
| Enumeration Date: | 03/18/2018 |
| Last Updated: | 03/18/2018 |
Provider Practice Location
800 N SHORELINE BLVD STE 700
CORPUS CHRISTI
TX
784013771
Practice Location Phone/Fax
| Phone: | 3619377887 |
| Fax: |
Provider Mailing Location
PO BOX 973
INGLESIDE
TX
783620973
Provider Mailing Phone/Fax
| Phone: | 3614461070 |
| Fax: |