Tera Pollard Reneau, DIAGNOSTICIAN

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

2320375 Issued in TX

Practice address

6414 Timarron Lakes Dr
Katy, TX 77493-4287

Phone

(661) 576-0399

NPI assigned

Jan 20, 2025

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1720899529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 TIMARRON LAKES DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934287",
            "telephone_number": "661-576-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 TIMARRON LAKES DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934287",
            "telephone_number": "661-576-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD RENEAU",
        "first_name": "TERA",
        "credential": "DIAGNOSTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "2320375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Polasek, D. C.
• Alliyah Polk
• Riann Elise Polk, RBT
• Tremia Polk
• Lashonda Pollack
• Tera George Polson, DO
• Richard E Ponder, RPH
• Jenna Pool, M.ED., LPC-ASSOCIATE
• Lacey Poole
• Tiffany Marie Poole, DC

• Intellectual & Developmental Disabilities Psychologist in Katy, TX
• Providers in Katy, TX by specialty
• Intellectual & Developmental Disabilities Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.