Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | J5003 | TX |
NPI | 1174632053 |
---|---|
Provider Name | Dr. Dana Rubin-Remer |
First Address | Dallas, TX 75248 |
Second Address | Dallas, TX 75248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 05/02/2013 |