Provider Demographics
NPI:1306897137
Name:JOHNSTON, MARGARITA ROSENDO (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:ROSENDO
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGARITA
Other - Middle Name:R
Other - Last Name:KRESSIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:7777 FOREST LN STE C618
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6855
Practice Address - Country:US
Practice Address - Phone:972-566-5400
Practice Address - Fax:972-566-5460
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0747208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX285796303Medicaid
TX285796304Medicaid
TX367127YNEDMedicare PIN
TX367127YND4Medicare PIN