Healthcare Provider Details

I. General information

NPI: 1144639071
Provider Name (Legal Business Name): MARGARET CARE CONCIERGE HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5614 1ST ST
KATY TX
77493-2411
US

IV. Provider business mailing address

PO BOX 1109
KATY TX
77492-1109
US

V. Phone/Fax

Practice location:
  • Phone: 346-307-7500
  • Fax: 346-307-7570
Mailing address:
  • Phone: 346-307-7500
  • Fax: 346-307-7570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP114607
License Number StateTX

VIII. Authorized Official

Name: MARGARET A VON HEUVEL
Title or Position: CEO/PRESIDENT
Credential: GNP
Phone: 346-307-7500