Provider Demographics
NPI:1538262449
Name:HANDY, JEMARQUES D
Entity type:Individual
Prefix:MR
First Name:JEMARQUES
Middle Name:D
Last Name:HANDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14402 PAVILION PT
Mailing Address - Street 2:#1107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3361
Mailing Address - Country:US
Mailing Address - Phone:281-498-1907
Mailing Address - Fax:
Practice Address - Street 1:14402 PAVILLION POINT
Practice Address - Street 2:#1107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083
Practice Address - Country:US
Practice Address - Phone:281-498-1907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist