Provider Demographics
NPI:1447448014
Name:MIGDALIA MONZON MD PA
Entity type:Organization
Organization Name:MIGDALIA MONZON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MIGDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-580-0212
Mailing Address - Street 1:850 TOWER DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4238
Mailing Address - Country:US
Mailing Address - Phone:432-580-0212
Mailing Address - Fax:
Practice Address - Street 1:850 TOWER DR
Practice Address - Street 2:SUITE 106
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4238
Practice Address - Country:US
Practice Address - Phone:432-580-0212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty