| Doctor Name: | MARGARONE MOMPLAISIR |
| NPI Number: | 1528497906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 716987 |
| Business Practice Address: | 107 S Gardner St Falfurrias, TX - 783554217 |
| Business Phone Number: | 3613252195 |
| Business Fax Number: | 3613252052 |
| Mailing Address: | Po Box 843204, DALLAS |
| State: | TX |
| Postal Code: | 752843204 |
| Phone Number: | 3613252195 |
| Fax Number: | 3613252052 |
| NPI Enumeration Date: | 11/05/2013 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 716987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |