Provider Demographics
NPI:1558184978
Name:FALCON, GEORGETTE NUNEZ (MHPS)
Entity type:Individual
Prefix:
First Name:GEORGETTE
Middle Name:NUNEZ
Last Name:FALCON
Suffix:
Gender:F
Credentials:MHPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2743 SMITH RANCH RD UNIT 1502
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5204
Mailing Address - Country:US
Mailing Address - Phone:346-374-8345
Mailing Address - Fax:
Practice Address - Street 1:2743 SMITH RANCH RD UNIT 1502
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5204
Practice Address - Country:US
Practice Address - Phone:346-374-8345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50905-1223175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist