Provider Demographics
NPI:1700896339
Name:RESTREPO, MARGO K (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGO
Middle Name:K
Last Name:RESTREPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1315 ST JOSEPH PKWY
Mailing Address - Street 2:# 1010
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002
Mailing Address - Country:US
Mailing Address - Phone:713-655-0578
Mailing Address - Fax:713-655-0602
Practice Address - Street 1:1315 ST JOSEPH PKWY
Practice Address - Street 2:# 1010
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002
Practice Address - Country:US
Practice Address - Phone:713-655-0578
Practice Address - Fax:713-655-0602
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE28152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25889Medicare UPIN
TX864217Medicare ID - Type Unspecified