Provider Demographics
NPI:1528341138
Name:JAMMAS, RENE CARMAN (MED)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:CARMAN
Last Name:JAMMAS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:RENE
Other - Middle Name:CHRISTINE
Other - Last Name:CARMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED
Mailing Address - Street 1:3302 SOMERSET LN
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-5252
Mailing Address - Country:US
Mailing Address - Phone:832-444-0172
Mailing Address - Fax:
Practice Address - Street 1:3302 SOMERSET LN
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-5252
Practice Address - Country:US
Practice Address - Phone:832-444-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health