Most Relevant Information
Provider Data
| NPI Number: | 1003409939 |
| Provider Name: | ELISA MONE'T MONTGOMERY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1016155 |
Most Important Dates
| Enumeration Date: | 02/11/2021 |
| Last Updated: | 02/11/2021 |
Provider Practice Location
1111 W ADOUE ST
ALVIN
TX
775112718
Practice Location Phone/Fax
| Phone: | 2818241480 |
| Fax: |
Provider Mailing Location
13960 HILLCROFT ST APT 921
HOUSTON
TX
770851514
Provider Mailing Phone/Fax
| Phone: | 4698771884 |
| Fax: |