Provider Demographics
NPI:1851799811
Name:BATULANON, RENEE (PTA)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:BATULANON
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23225 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2890
Mailing Address - Country:US
Mailing Address - Phone:281-395-9090
Mailing Address - Fax:281-395-9091
Practice Address - Street 1:23225 KINGSLAND BLVD
Practice Address - Street 2:STE 600
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2890
Practice Address - Country:US
Practice Address - Phone:281-395-9090
Practice Address - Fax:281-395-9091
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2096479225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant