Provider Demographics
NPI:1073627741
Name:NEIHEISEL, MARGARET DEPIORE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:DEPIORE
Last Name:NEIHEISEL
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 1:4499 MEDICAL DR 250
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3735
Mailing Address - Country:US
Mailing Address - Phone:210-614-4499
Mailing Address - Fax:210-614-4532
Practice Address - Street 1:4499 MEDICAL DR 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3735
Practice Address - Country:US
Practice Address - Phone:210-614-4499
Practice Address - Fax:210-614-4532
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9390173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A332OtherBLUE CROSS PROVIDER NUMBE
TX126987003Medicaid