Provider Demographics
NPI:1225839533
Name:NDOSSEU, MARGOT (NP)
Entity type:Individual
Prefix:
First Name:MARGOT
Middle Name:
Last Name:NDOSSEU
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11003 RAINY CANYON LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1699
Mailing Address - Country:US
Mailing Address - Phone:650-518-1915
Mailing Address - Fax:
Practice Address - Street 1:11003 RAINY CANYON LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1699
Practice Address - Country:US
Practice Address - Phone:650-518-1915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1193104363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health