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Dr. Mark L. Montgomery, MD
Vascular & Interventional Radiology Physician in Temple, Texas
NPI 1366403347

Mark L. Montgomery is a Vascular & Interventional Radiology Physician based in Dallas, TX and is specialized in Vascular & Interventional Radiology. Mark L. Montgomery practices in Temple, TX and has the professional credentials of MD. The NPI Number for Mark L. Montgomery is 1366403347 and holds a License No. J6603 (Texas).

The current practice location address for Mark L. Montgomery is 2401 S 31St St, Temple, TX and can be reached out via phone at 254-724-2111.

Location: 2401 S 31St St, Temple, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366403347
Provider Name
Mark L. Montgomery
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2401 S 31St St, Temple, TX, 75284-4658
Phone Number
254-724-2111
Fax Number
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300115737 01 TX RR/MEDICARE
1050882-01 01 TX CSHCN
1050882-02 05 TX
87433Y 01 TX BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2111
Fax Number
person
Provider Business Mailing Address Details
Address
2401 S 31St St
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
J6603 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
J6603 (Texas)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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