Provider Demographics
NPI:1790806974
Name:GEORGE, MARIAMMA (CRT)
Entity Type:Individual
Prefix:
First Name:MARIAMMA
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8711 EMERALD HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5775
Mailing Address - Country:US
Mailing Address - Phone:281-530-5002
Mailing Address - Fax:
Practice Address - Street 1:8711 EMERALD HEIGHTS CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5775
Practice Address - Country:US
Practice Address - Phone:281-530-5002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX609182278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care