Provider Demographics
NPI:1679511653
Name:VON HEUVEL, MARGARET A (GNP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:VON HEUVEL
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1109
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77492-1109
Mailing Address - Country:US
Mailing Address - Phone:346-307-7500
Mailing Address - Fax:346-307-7570
Practice Address - Street 1:25145 STAR LN STE 705
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7088
Practice Address - Country:US
Practice Address - Phone:346-307-7500
Practice Address - Fax:346-307-7570
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX633569363L00000X, 363LG0600X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2085524-01Medicaid
TX2085524-01Medicaid