Provider Demographics
NPI:1770096927
Name:ROBEDEE, JESSICA (PRS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ROBEDEE
Suffix:
Gender:F
Credentials:PRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 LOCKGATE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3376
Mailing Address - Country:US
Mailing Address - Phone:832-515-4552
Mailing Address - Fax:
Practice Address - Street 1:925 N SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-6526
Practice Address - Country:US
Practice Address - Phone:713-486-7247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist