Individual
DR. KENNETH J MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168692501
—
TX
05
—
168692506
—
TX
01
—
8J9901
BCBSTX PROV NO
TX
01
—
P00192816
RAILROAD MCARE PROV NO
TX
Enumeration date
01/03/2006
Last updated
01/28/2025
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