Provider Demographics
NPI:1912280017
Name:NAQUIN, MARGARET ASHMORE (AFC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ASHMORE
Last Name:NAQUIN
Suffix:
Gender:F
Credentials:AFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2622 CARABELLE ST
Mailing Address - Street 2:
Mailing Address - City:VIDOR
Mailing Address - State:TX
Mailing Address - Zip Code:77662-8746
Mailing Address - Country:US
Mailing Address - Phone:409-786-3288
Mailing Address - Fax:409-681-9467
Practice Address - Street 1:2622 CARABELLE ST
Practice Address - Street 2:
Practice Address - City:VIDOR
Practice Address - State:TX
Practice Address - Zip Code:77662-8746
Practice Address - Country:US
Practice Address - Phone:409-786-3288
Practice Address - Fax:409-681-9467
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320700000X171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor