Provider Demographics
NPI:1093067795
Name:NESMITH, MARGARET WATSON (FNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:WATSON
Last Name:NESMITH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:STE 1260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-797-0466
Mailing Address - Fax:713-797-0451
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:STE 1260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-412-9040
Practice Address - Fax:713-797-0451
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150163163W00000X
TX827571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX317026801Medicaid
287639YPSRMedicare PIN