Individual
GENESIS RILEY GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12504 SHADY RUN LN, PEARLAND, TX 77584-4547
(225) 278-1022
Mailing address
12504 SHADY RUN LN, PEARLAND, TX 77584-4547
(225) 278-1022
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
966176
TX
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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