Provider Demographics
NPI:1578554689
Name:MARGRAF, DAVID P (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:MARGRAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:610 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8899
Mailing Address - Country:US
Mailing Address - Phone:817-251-1737
Mailing Address - Fax:817-442-1674
Practice Address - Street 1:610 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-8899
Practice Address - Country:US
Practice Address - Phone:817-251-1737
Practice Address - Fax:817-442-1674
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH87432080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100405090AMedicaid
KS101314Medicare ID - Type Unspecified
TXE56004Medicare UPIN