Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | J2461 | TX |
N | 2080P0214X | Pediatric Pulmonologist | J2461 | TX |
NPI | 1003884792 |
---|---|
Provider Name | Dr. Richard Michael Rembecki |
First Address | Frisco, TX 75033-1542 |
Second Address | Taos, NM 87571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 03/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0025KC | BLUE CROSS (01) | TX |
015857-0082 | PACIFICARE (01) | TX |
1151805-04 | (05) | TX |
2916754 | AETNA (01) | TX |
2934692002 | CIGNA (01) | TX |
3342580 | BLUE LINK (01) | TX |
A003 | TRICARE (01) | TX |
F42580 | (02) | TX |