Provider Demographics
NPI:1023809480
Name:LEE, GENIELYN WILLIAMS (BSPT BSN RN MAN CMSR)
Entity type:Individual
Prefix:
First Name:GENIELYN
Middle Name:WILLIAMS
Last Name:LEE
Suffix:
Gender:F
Credentials:BSPT BSN RN MAN CMSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19901 SOUTHWEST FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6538
Mailing Address - Country:US
Mailing Address - Phone:713-538-1989
Mailing Address - Fax:713-538-1989
Practice Address - Street 1:19901 SOUTHWEST FWY STE 310
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6538
Practice Address - Country:US
Practice Address - Phone:713-538-1989
Practice Address - Fax:713-538-1989
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX941368163W00000X, 261QI0500X, 163WH0200X, 163WI0500X, 163WW0000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WW0000XNursing Service ProvidersRegistered NurseWound Care