Provider Demographics
NPI:1841489465
Name:EL MARAGHY, HALA R (MD)
Entity type:Individual
Prefix:
First Name:HALA
Middle Name:R
Last Name:EL MARAGHY
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 1:6750 TEZEL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-4183
Mailing Address - Country:US
Mailing Address - Phone:210-680-0800
Mailing Address - Fax:
Practice Address - Street 1:6750 TEZEL RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-4183
Practice Address - Country:US
Practice Address - Phone:210-680-0800
Practice Address - Fax:210-680-0844
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9699208000000X
NMMD2010-0601208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3381725Medicaid
NM94959226Medicaid