Provider Demographics
NPI:1992103931
Name:REAMER PEDIATRIC ASSOCIATES, P.A.
Entity type:Organization
Organization Name:REAMER PEDIATRIC ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REAMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-527-9193
Mailing Address - Street 1:2001 SUL ROSS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2513
Mailing Address - Country:US
Mailing Address - Phone:713-527-9193
Mailing Address - Fax:713-527-8565
Practice Address - Street 1:2001 SUL ROSS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2513
Practice Address - Country:US
Practice Address - Phone:713-527-9193
Practice Address - Fax:713-527-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5777103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty