Provider Demographics
NPI:1427031376
Name:VANDERLEE, MARGARET GAIL (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:GAIL
Last Name:VANDERLEE
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 1:3805 NORTHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-4438
Mailing Address - Country:US
Mailing Address - Phone:432-520-3057
Mailing Address - Fax:432-683-8830
Practice Address - Street 1:314 SECOR ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6343
Practice Address - Country:US
Practice Address - Phone:432-580-9855
Practice Address - Fax:432-580-8551
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7254207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119226204Medicaid
TX119226201Medicaid
TX119226204Medicaid
TXC14803Medicare ID - Type UnspecifiedRAILROAD MEDICARE NO.
TX119226201Medicaid
TX88J307Medicare ID - Type UnspecifiedMEDICARE NO.