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Georgina Ita
Psychiatric/Mental Health Nurse Practitioner in Stafford, Texas
NPI 1477262772

Georgina Ita is a Psychiatric/Mental Health Nurse Practitioner based in Stafford, TX and is specialized in Psychiatric/Mental Health. Georgina Ita practices in Stafford, TX. The NPI Number for Georgina Ita is 1477262772 and holds a License No. 1097436 (Texas).

The current practice location address for Georgina Ita is 10701 Corporate Dr Ste 340-105, Stafford, TX and can be reached out via phone at 281-903-0171.

Location: 10701 Corporate Dr Ste 340-105, Stafford, TX, 77477-4096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477262772
Provider Name
Georgina Ita
Credential
Provider Entity Type
Individual
Gender
Female
Address
10701 Corporate Dr Ste 340-105, Stafford, TX, 77477-4096
Phone Number
281-903-0171
Fax Number
Provider Enumeration Date
11/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10701 Corporate Dr Ste 340-105
City
Stafford
State
Texas
Zip
77477-4096
Phone Number
281-903-0171
Fax Number
person
Provider Business Mailing Address Details
Address
10701 Corporate Dr Ste 340-105
City
Stafford
State
Texas
Zip
77477-4096
Phone Number
281-903-0171
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1097436 (Texas)
Definition
Definition to come...
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