| Doctor Name: | OCOTLAN MONTOYA |
| NPI Number: | 1679810592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | AP122810 |
| Business Practice Address: | 1600 N Main Ave Lovington, NM - 882602813 |
| Business Phone Number: | 5753966611 |
| Business Fax Number: | 5753960318 |
| Mailing Address: | 420 E 6th St, Ste 107 ODESSA |
| State: | TX |
| Postal Code: | 797614537 |
| Phone Number: | 4325822446 |
| Fax Number: | 4325822960 |
| NPI Enumeration Date: | 01/11/2013 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP122810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |