Individual
GEORGIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2800 S MACGREGOR WAY, HOUSTON, TX 77021-1032
(806) 220-8007
Mailing address
2800 S MACGREGOR WAY, HOUSTON, TX 77021-1032
(806) 220-8007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
259640
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1190618
TX
Other
Enumeration date
11/22/2022
Last updated
03/21/2025
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