Provider Demographics
NPI:1902195670
Name:GOEBEL, MARGARET ANN (DNP)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:GOEBEL
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:RESTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:355 EAST PARKWOOD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546
Mailing Address - Country:US
Mailing Address - Phone:832-206-4418
Mailing Address - Fax:409-747-9330
Practice Address - Street 1:355 EAST PARKWOOD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546
Practice Address - Country:US
Practice Address - Phone:832-206-4418
Practice Address - Fax:409-747-9330
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP116828363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health