Remedium Health Pllc | |
783 N Denton Tap Rd Ste 150 Coppell TX 75019-2129 | |
(972) 315-2588 | |
(214) 589-0012 |
Full Name | Remedium Health Pllc |
---|---|
Speciality | Internal Medicine |
Location | 783 N Denton Tap Rd Ste 150, Coppell, Texas |
Authorized Official Name and Position | Mirza Qasim Hasan (MEMBER) |
Authorized Official Contact | 7135898967 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Remedium Health Pllc 783 N Denton Tap Rd Ste 150 Coppell TX 75019-2129 Ph: (972) 315-2588 | Remedium Health Pllc 783 N Denton Tap Rd Ste 150 Coppell TX 75019-2129 Ph: (972) 315-2588 |
NPI Number | 1568008589 |
---|---|
Provider Enumeration Date | 11/25/2019 |
Last Update Date | 09/22/2020 |
Medicare PECOS PAC ID | 2163851148 |
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Medicare Enrollment ID | O20200327000202 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568008589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mirza Q Hasan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881814390 PECOS PAC ID: 9133213119 Enrollment ID: I20120912000292 |
Provider Name | Saquib Ibrahim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093789539 PECOS PAC ID: 6305908021 Enrollment ID: I20180412001863 |
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