Provider Demographics
NPI:1184737983
Name:EGBUNIKE, MARGARET C (MD)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:C
Last Name:EGBUNIKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15803 MISSION CREST COURT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083
Mailing Address - Country:US
Mailing Address - Phone:713-914-0055
Mailing Address - Fax:713-914-0077
Practice Address - Street 1:7111 HARWIN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-914-0055
Practice Address - Fax:713-914-0077
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3720207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG58453Medicare UPIN
TX8378JLMedicare ID - Type Unspecified