Healthcare Provider Details

I. General information

NPI: 1396114708
Provider Name (Legal Business Name): GERMAINE N TEZANO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2015
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 SPRING GREEN BLVD STE 120
KATY TX
77494-7463
US

IV. Provider business mailing address

1708 SPRING GREEN BLVD STE 120
KATY TX
77494-7463
US

V. Phone/Fax

Practice location:
  • Phone: 832-987-3397
  • Fax: 832-281-7958
Mailing address:
  • Phone: 443-866-5157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP128101
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP128101
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: