Provider Demographics
NPI:1336808104
Name:LANSANG, GERALDINE SADIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:SADIE
Last Name:LANSANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 GESSNER RD STE 360
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2540
Mailing Address - Country:US
Mailing Address - Phone:713-468-5400
Mailing Address - Fax:713-973-0778
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-468-5440
Practice Address - Fax:713-973-0778
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAG12210049363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care