Mark D Montelongo (NPI# 1063726750, PAC ID# 0042485898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063726750 |
| PAC ID by PECOS | 0042485898 |
| Professional Enrollment ID | I20111207000189 |
| Full Name | Mark D Montelongo |
| Organization Legal Name | DCS MEDICAL PA |
| Address |
3010 E Business 190 Suite 254 Copperas Cove TX 76522-2517 |
| Phone Number | 2545775642 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042507600 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 | 9797031832 | DCS MEDICAL PA |
| 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 | 2545775642 | DCS MEDICAL PA |
| 900 Austin Ave, Suite 1001, Waco, TX 76701-1949 | 2542248808 | PREMIER PHYSICIANS - II PA |
| Organization Legal Name | DCS MEDICAL PA |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin B Skinner | Physician Assistant | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Foy E Dark Iii | Emergency Medicine | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Justin D Hancock | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
| Jonathan R Bourland | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
| Kristen M Meaders | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
| Elise C Applegate | Physician Assistant | Dcs Medical Pa | 3201 University Dr E, Suite 135, Bryan, TX 77802-3481 |
| David Scott Taylor | Physician Assistant | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Jennifer Williams | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Mark D Roberts | Physician Assistant | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Stacy L Gregory | Nurse Practitioner | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Street Address |
3010 E BUSINESS 190 SUITE 254 |
| City | COPPERAS COVE |
| State | TX |
| Zip | 76522-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Foy E Dark Iii | Emergency Medicine | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| David Scott Taylor | Physician Assistant | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Mark D Roberts | Physician Assistant | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Stacy L Gregory | Nurse Practitioner | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Walter C Cox | Emergency Medicine | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Michele Lee Kent | Nurse Practitioner | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| Cynthia Thygesen | Nurse Practitioner | Dcs Medical Pa | 3010 E Business, 190 Suite 254, Copperas Cove, TX 76522-2517 |
| David Ganceres | Nurse Practitioner | William S Marsh IIi, Do, Pa | 3010 E Business, Copperas Cove, TX 76522-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward M Dugan | Clinical Social Worker | 806 E Ave D, Suite F, Copperas Cove, TX 76522 | |
| Margaret L Grant | Clinical Social Worker | 806 E Ave D, Suite F, Copperas Cove, TX 76522-2231 | |
| Brent L Dunbar | Physical Therapy | All Care Therapies of Georgetown Pllc | 1521 E Business, Suite 190, Copperas Cove, TX 76522-2343 |
| Celya N Tilley | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Suzanne N Phillips | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Diane K Anderson | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Linda M Reed | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Rebecca A Redmond | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Seresea Mitchell-smith | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Rene H Amadi | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Find all physicians in zip 76522 | |||
| City | COPPERAS COVE |
| Zip Code | 76522 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COPPERAS COVE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark D Montelongo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.