Individual
DR. WAYNE S MARGOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 HOSPITAL DR, SUITE 260, BEAUMONT, TX 77701-4664
(409) 835-4003
(409) 835-7005
Mailing address
740 HOSPITAL DR, SUITE 260, BEAUMONT, TX 77701-4664
(409) 835-4003
(409) 835-7005
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
F 9775
TX
207RI0011X
Interventional Cardiology Physician
Primary
F 9775
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493975-01
—
TX
Enumeration date
06/17/2005
Last updated
12/30/2011
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