Provider Demographics
NPI:1114938057
Name:SUNMONU, GEORGIA FAYE
Entity Type:Individual
Prefix:MRS
First Name:GEORGIA
Middle Name:FAYE
Last Name:SUNMONU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7218 WOODED LAKE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7833
Mailing Address - Country:US
Mailing Address - Phone:281-344-8866
Mailing Address - Fax:
Practice Address - Street 1:7218 WOODED LAKE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-7833
Practice Address - Country:US
Practice Address - Phone:281-344-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX707201163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent