Provider Demographics
NPI:1174226526
Name:REDUS, JAMERIE SENAE
Entity type:Individual
Prefix:
First Name:JAMERIE
Middle Name:SENAE
Last Name:REDUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13351 CITYSCAPE AVE APT 10301
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-8135
Mailing Address - Country:US
Mailing Address - Phone:832-571-9478
Mailing Address - Fax:
Practice Address - Street 1:2100 TRAVIS ST STE 355
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-2077
Practice Address - Country:US
Practice Address - Phone:832-571-9478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator