Provider Demographics
NPI:1306458864
Name:CEASER, JAMES J JR
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:CEASER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4918 EVENING MOON LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5439
Mailing Address - Country:US
Mailing Address - Phone:832-745-7215
Mailing Address - Fax:
Practice Address - Street 1:3004 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6318
Practice Address - Country:US
Practice Address - Phone:832-745-7215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health