Provider Demographics
NPI:1235183443
Name:UTHMAN, MARGARET OPAL (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:OPAL
Last Name:UTHMAN
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 1:1220 SENLAC DRIVE
Mailing Address - Street 2:RMS MANGED CARE
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-7019
Mailing Address - Country:US
Mailing Address - Phone:713-500-5301
Mailing Address - Fax:713-500-0732
Practice Address - Street 1:6411 FANNIN STREET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-704-4000
Practice Address - Fax:713-704-2658
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5082207ZP0105X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88796YOtherBCBS
TX132429505Medicaid
88796YOtherBCBSTX
TX88796YOtherBCBS
E12310Medicare UPIN
88796YOtherBCBSTX
TX81P095Medicare PIN