Individual provider · Type 1 NPI

Austin Miles Montondon, PA-C

Surgical Physician Assistant · Houston, TX

NPI number 1184604084 Active

Practice location

15655 Cypress Wood Medical Dr Ste 100
Houston, TX 77014-1487

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA04949 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1184604084

Austin Miles Montondon, PA-C's National Provider Identifier is 1184604084, issued on Jan 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Jun 11, 2021.