Provider Demographics
NPI:1386781656
Name:LENHART, MEGAN (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:LENHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W BANDERA RD STE 114-282
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2820
Mailing Address - Country:US
Mailing Address - Phone:719-251-8391
Mailing Address - Fax:
Practice Address - Street 1:5800 NORTHWEST PKWY STE 125
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3376
Practice Address - Country:US
Practice Address - Phone:210-780-6679
Practice Address - Fax:210-641-2247
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46450207V00000X
TXR0271207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO35627824Medicaid