Provider Demographics
NPI:1568008589
Name:REMEDIUM HEALTH PLLC
Entity Type:Organization
Organization Name:REMEDIUM HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRZA
Authorized Official - Middle Name:QASIM
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-589-8967
Mailing Address - Street 1:783 N DENTON TAP RD STE 150
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2129
Mailing Address - Country:US
Mailing Address - Phone:972-315-2588
Mailing Address - Fax:214-589-0012
Practice Address - Street 1:783 N DENTON TAP RD STE 150
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2129
Practice Address - Country:US
Practice Address - Phone:972-315-2588
Practice Address - Fax:214-589-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty