Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Damon Montelongo, NP

Individual provider Family Nurse Practitioner · NPI 1063726750

Mr. Mark Damon Montelongo, NP is a Nurse Practitioner in Waco, Texas. Qualified in 2009, 17 years ago. Practices with Legacy Urgent Care PA, a 158-clinician group. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2010
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6901 Medical Pkwy
Waco, TX 76712-7910
Phone: (254) 751-4756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 734468 (TX)

Record details

NPI number1063726750
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 5, 2010
Last updated in NPPESAugust 5, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Urgent Care Pa — 158 clinicians
Accepts Medicare assignment Not indicated

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