Provider Demographics
NPI:1831834407
Name:REMINGTON, ROSE (RBT)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WILCREST DR APT 2309
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1059
Mailing Address - Country:US
Mailing Address - Phone:740-542-0120
Mailing Address - Fax:
Practice Address - Street 1:20718 PARK ROW DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5181
Practice Address - Country:US
Practice Address - Phone:281-206-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21187180374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician