| Doctor Name: | MARIAN N MONTOYA-CHICK |
| NPI Number: | 1720082209 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC |
| License Number: | 587448 |
| Business Practice Address: | 2600 Fm 1764 Rd Suite 190 La Marque, TX - 775682824 |
| Business Phone Number: | 4094972801 |
| Business Fax Number: | 4094408071 |
| Mailing Address: | 1102 E Neches St, PALESTINE |
| State: | TX |
| Postal Code: | 758014640 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 12/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 587448 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |