Provider Demographics
NPI:1609886142
Name:NORRIS, MARGARET C (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:C
Last Name:NORRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:C
Other - Last Name:MOREAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:14615 SAN PEDRO AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4364
Mailing Address - Country:US
Mailing Address - Phone:210-404-0020
Mailing Address - Fax:903-892-6665
Practice Address - Street 1:14615 SAN PEDRO AVE STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4364
Practice Address - Country:US
Practice Address - Phone:210-404-0020
Practice Address - Fax:210-404-0325
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109755363L00000X
TXAP109755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1149608Medicaid
LAS96686Medicare UPIN
LA1149608Medicaid
TX518620YKPWMedicare PIN