Provider Demographics
NPI:1508879065
Name:HUSMANN, MARGARET ANN (CRNA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:HUSMANN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:972-715-9976
Practice Address - Street 1:6606 LBJ FWY STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6524
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710642367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8738UGOtherBCBS TX
TX8L5682OtherMEDICARE
TX192790703Medicaid
TX192790705Medicaid
TX89517UOtherBCBS
TXP00731417OtherMEDICARE RAILROAD
TXP00832260OtherRAILROAD
TX192790702Medicaid
TX85376UOtherBLUE SHIELD INDIVIDUAL
TXDN8471OtherMEDICARE RAILROAD
TXP00731417OtherMEDICARE RAILROAD
TX8L5682OtherMEDICARE
TX8L10067Medicare PIN