Provider Demographics
NPI:1457945032
Name:TARRILLION, MARGOT L (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARGOT
Middle Name:L
Last Name:TARRILLION
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 LIBBEY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-5309
Mailing Address - Country:US
Mailing Address - Phone:713-412-1439
Mailing Address - Fax:
Practice Address - Street 1:777 N POST OAK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3800
Practice Address - Country:US
Practice Address - Phone:713-956-0870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105431235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist