Basic Information
Provider Information
NPI: 1780847855
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARVEY
FirstName: MARGARET
MiddleName: MURPHEY
NamePrefix: MS.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12805 GULF FWY
Address2:  
City: HOUSTON
State: TX
PostalCode: 770344807
CountryCode: US
TelephoneNumber: 2814814100
FaxNumber: 2814814105
Practice Location
Address1: 3195 CALDER ST STE 201
Address2:  
City: BEAUMONT
State: TX
PostalCode: 777021425
CountryCode: US
TelephoneNumber: 4098334115
FaxNumber: 4098338605
Other Information
ProviderEnumerationDate: 07/08/2008
LastUpdateDate: 07/08/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251P0200X1072429TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics

No ID Information.


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