Provider Demographics
NPI:1891295804
Name:MYNHIER, MARGIE
Entity Type:Individual
Prefix:
First Name:MARGIE
Middle Name:
Last Name:MYNHIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 HILLANDALE CT
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3521
Mailing Address - Country:US
Mailing Address - Phone:281-703-5665
Mailing Address - Fax:
Practice Address - Street 1:114 HILLANDALE CT
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3521
Practice Address - Country:US
Practice Address - Phone:281-703-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX795853163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse