Healthcare Provider Details

I. General information

NPI: 1285552992
Provider Name (Legal Business Name): JAMES CLEMMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7202 N GRAND PKWY W STE 700
SPRING TX
77379-1687
US

IV. Provider business mailing address

698 BASILICA BAY DR APT 4206
SPRING TX
77386-5025
US

V. Phone/Fax

Practice location:
  • Phone: 346-692-8627
  • Fax:
Mailing address:
  • Phone: 832-948-9920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2828482
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: