Provider Demographics
NPI:1699709188
Name:MIESCH, MARGARET LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LOUISE
Last Name:MIESCH
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 1:8105 RASOR BLVD STE 124
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0116
Mailing Address - Country:US
Mailing Address - Phone:214-631-3663
Mailing Address - Fax:972-378-9178
Practice Address - Street 1:8105 RASOR BLVD STE 124
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0116
Practice Address - Country:US
Practice Address - Phone:214-631-3663
Practice Address - Fax:972-378-9178
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH29542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00F43TOtherBCBS
TX033164701Medicaid
TX033164703Medicaid
TX437756YKP5Medicare PIN
TX8F20880Medicare PIN
TX00F43TOtherBCBS
TX033164703Medicaid