Provider Demographics
NPI:1144639071
Name:MARGARET CARE CONCIERGE HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:MARGARET CARE CONCIERGE HEALTH SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:VON HEUVEL
Authorized Official - Suffix:
Authorized Official - Credentials:GNP
Authorized Official - Phone:346-307-7500
Mailing Address - Street 1:PO BOX 1109
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77492-1109
Mailing Address - Country:US
Mailing Address - Phone:346-307-7500
Mailing Address - Fax:346-307-7570
Practice Address - Street 1:5614 1ST ST
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2411
Practice Address - Country:US
Practice Address - Phone:346-307-7500
Practice Address - Fax:346-307-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP114607363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2085524-01Medicaid
TXAP114607OtherLICENSE NUMBER