Individual provider · Type 1 NPI

Samuel Bryan Montgomery, MD

Student in an Organized Health Care Education/Training Program · Fort Sam Houston, TX

NPI number 1205195567 Active

Practice location

3551 Roger Brooke Dr, Mche-Qd(creds)
Fort Sam Houston, TX 78234-4504

Call (210) 916-2460 Map

Fax (210) 916-1169

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205195567

Samuel Bryan Montgomery, MD's National Provider Identifier is 1205195567, issued on May 8, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on May 8, 2012.