Georgina Ita

NPI # 

Practice Address:

10701 Corporate Dr Ste 340-105

Stafford, TX, 77477-4096

Practice Phone:

281-903-0171

License Number:

1097436

License State:

TX

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X

Updated by NPPES on 11/16/2022. You can view the original data set for NPI # 1477262772 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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