Provider Demographics
NPI:1578515623
Name:THURMOND-ANDERLE, MARGARET E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:E
Last Name:THURMOND-ANDERLE
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 1:6701 WOODWARD ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1932
Mailing Address - Country:US
Mailing Address - Phone:806-379-7732
Mailing Address - Fax:806-379-6740
Practice Address - Street 1:6701 WOODWARD ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1932
Practice Address - Country:US
Practice Address - Phone:806-379-7732
Practice Address - Fax:806-379-6740
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8464174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP08W5602Medicaid
TXC22679Medicare UPIN
TXP08W5602Medicaid