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Montage Surgical, PLLC

NPI 1417523465ActiveOrganization· Physician Assistant· Plano, TX

Physician Assistant in Plano, Texas, registered in NPPES in June 2021. The authorized official on file is Roxanna Laroque, Director Of Client Experience.

Overview

NPI1417523465
StatusActive
Entity typeOrganization
NPI issuedJun 1, 2021
Last updated in NPPESSep 24, 2024
Certified by providerAug 23, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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