Provider Demographics
NPI:1114257995
Name:CECIL, MARGARET LOUISE (ANP-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LOUISE
Last Name:CECIL
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17400 ST LUKES WAY
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-8036
Mailing Address - Country:US
Mailing Address - Phone:936-266-9344
Mailing Address - Fax:936-266-9391
Practice Address - Street 1:17400 ST LUKES WAY
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8036
Practice Address - Country:US
Practice Address - Phone:936-266-9344
Practice Address - Fax:936-266-9391
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716810363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health