Provider Demographics
NPI:1396114708
Name:TEZANO, GERMAINE N (APRN)
Entity type:Individual
Prefix:MRS
First Name:GERMAINE
Middle Name:N
Last Name:TEZANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 SPRING GREEN BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7463
Mailing Address - Country:US
Mailing Address - Phone:443-866-5157
Mailing Address - Fax:
Practice Address - Street 1:1708 SPRING GREEN BLVD STE 120
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7463
Practice Address - Country:US
Practice Address - Phone:832-987-3397
Practice Address - Fax:832-281-7958
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128101363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health