Provider Demographics
NPI:1902331986
Name:RUNNER, MARGARET MCDOUGAL (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MCDOUGAL
Last Name:RUNNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ELIZABETH
Other - Last Name:MCDOUGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:305 MORRISON PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-1352
Mailing Address - Country:US
Mailing Address - Phone:817-865-6800
Mailing Address - Fax:817-865-6790
Practice Address - Street 1:305 MORRISON PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-1352
Practice Address - Country:US
Practice Address - Phone:817-865-6800
Practice Address - Fax:817-865-6790
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301504322207W00000X, 207WX0107X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology