Provider Demographics
NPI:1982590410
Name:NGUIMATSA DJIOTSOP, ARTHUR DIEUSEUL
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:DIEUSEUL
Last Name:NGUIMATSA DJIOTSOP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5509 SW 9TH AVE APT 1102
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4190
Mailing Address - Country:US
Mailing Address - Phone:806-376-3767
Mailing Address - Fax:
Practice Address - Street 1:5509 SW 9TH AVE APT 1102
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4190
Practice Address - Country:US
Practice Address - Phone:806-376-3767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program