Provider Demographics
NPI:1881561694
Name:STAIRS, GEORGIA RUTH (CPM, LM)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:RUTH
Last Name:STAIRS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1914
Mailing Address - Country:US
Mailing Address - Phone:763-357-3105
Mailing Address - Fax:
Practice Address - Street 1:312 W DALLAS ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1914
Practice Address - Country:US
Practice Address - Phone:763-357-3105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99615176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife