Provider Demographics
NPI:1033308523
Name:ELLARD, MARGOT L (CNM)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:L
Last Name:ELLARD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 FANNIN ST
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2934
Mailing Address - Country:US
Mailing Address - Phone:713-791-9100
Mailing Address - Fax:713-791-1016
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:SUITE 3000
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2934
Practice Address - Country:US
Practice Address - Phone:713-791-9100
Practice Address - Fax:713-791-1016
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM564367A00000X, 364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM62876732Medicaid
NM300020Medicare PIN