Provider Demographics
NPI:1013406230
Name:PENSON, RENE CLARICE
Entity Type:Individual
Prefix:MRS
First Name:RENE
Middle Name:CLARICE
Last Name:PENSON
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 1:6606 RUSK LANDING CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-3505
Mailing Address - Country:US
Mailing Address - Phone:832-683-2112
Mailing Address - Fax:
Practice Address - Street 1:6606 RUSK LANDING CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-3505
Practice Address - Country:US
Practice Address - Phone:832-683-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)