Provider Demographics
NPI:1659406650
Name:WAISMAN, MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:WAISMAN
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 1:4101 GREENBRIAR
Mailing Address - Street 2:#115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-5244
Mailing Address - Country:US
Mailing Address - Phone:713-526-1667
Mailing Address - Fax:
Practice Address - Street 1:4101 GREENBRIAR
Practice Address - Street 2:#115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-5244
Practice Address - Country:US
Practice Address - Phone:713-526-1667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1440174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC92811OtherPROVIDER NUMBER
TX00P968OtherPROVIDER NUMBER
COC92811OtherPROVIDER NUMBER