Provider Demographics
NPI:1548276330
Name:AGUILAR STADLER, MONTSERRAT (MD)
Entity type:Individual
Prefix:DR
First Name:MONTSERRAT
Middle Name:
Last Name:AGUILAR STADLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE MEDICAL PARKWAY, PLAZA ONE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234
Mailing Address - Country:US
Mailing Address - Phone:972-406-9393
Mailing Address - Fax:972-406-8787
Practice Address - Street 1:ONE MEDICAL PARKWAY, PLAZA ONE
Practice Address - Street 2:SUITE 209
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234
Practice Address - Country:US
Practice Address - Phone:972-406-9393
Practice Address - Fax:972-406-8787
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9958208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics