Provider Demographics
NPI:1710413877
Name:CASAREZ, REBECCA (PHD, RN, PMHCNS-BC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:CASAREZ
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Gender:F
Credentials:PHD, RN, PMHCNS-BC
Other - Prefix:
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Mailing Address - Street 1:6901 BERTNER AVE
Mailing Address - Street 2:ROOM 793
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3901
Mailing Address - Country:US
Mailing Address - Phone:713-500-2068
Mailing Address - Fax:713-500-2073
Practice Address - Street 1:7000 FANNIN ST
Practice Address - Street 2:SUITE 1620
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5400
Practice Address - Country:US
Practice Address - Phone:713-500-3267
Practice Address - Fax:713-500-3220
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP105358364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult