Provider Demographics
NPI:1194185157
Name:CUARESMA, GIOVANNI SR (NP-C)
Entity Type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:
Last Name:CUARESMA
Suffix:SR
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9003 CORBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5517
Mailing Address - Country:US
Mailing Address - Phone:832-757-9918
Mailing Address - Fax:
Practice Address - Street 1:2104 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3676
Practice Address - Country:US
Practice Address - Phone:281-882-8844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily