Provider Demographics
NPI:1265809495
Name:COTTON, MARGARET EILEEN (CRNA)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:EILEEN
Last Name:COTTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:EILEEN
Other - Last Name:BRUBAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9056 SUMMIT PENINSULA RD APT 5201
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2384
Mailing Address - Country:US
Mailing Address - Phone:240-687-5625
Mailing Address - Fax:
Practice Address - Street 1:6225 STATE HWY 161 STE 200
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2241
Practice Address - Country:US
Practice Address - Phone:214-687-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX848881163W00000X
TX1148391367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse