Georgina Ita, | |
10701 Corporate Dr Ste 340-105, Stafford, TX 77477-4096 | |
(281) 903-0171 | |
Not Available |
Full Name | Georgina Ita |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 10701 Corporate Dr Ste 340-105, Stafford, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477262772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1097436 (Texas) | Primary |
Entity Name | Vest Seattle Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104338144 PECOS PAC ID: 7416233549 Enrollment ID: O20170606001548 |
Mailing Address | Practice Location Address |
---|---|
Georgina Ita, 10701 Corporate Dr Ste 340-105, Stafford, TX 77477-4096 Ph: (281) 903-0171 | Georgina Ita, 10701 Corporate Dr Ste 340-105, Stafford, TX 77477-4096 Ph: (281) 903-0171 |
Chandrika Padmavathyamma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11925 Southwest Fwy Ste 12, Stafford, TX 77477 Phone: 281-741-9145 | |
Ashley Ray, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3623 S Main St # 109, Stafford, TX 77477 Phone: 281-969-7643 Fax: 281-969-5332 | |
Esther Ogechi Peter, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 543 Nadia Way, Stafford, TX 77477 Phone: 832-492-2102 | |
Ms. Brenda S Mallett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10435 Greenbough Dr Ste 300, Stafford, TX 77477 Phone: 281-261-0182 | |
Mrs. Joslyn M Varghese, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2503 S Main St Ste C, Stafford, TX 77477 Phone: 281-261-5800 | |
Jessy Cecil, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Murphy Rd Ste 101b, Stafford, TX 77477 Phone: 832-729-2461 | |
Anh Kim Dinh, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11929 W Airport Blvd, Stafford, TX 77477 Phone: 832-723-7807 |