Provider Demographics
NPI:1689006348
Name:TAEC REMOTE
Entity Type:Organization
Organization Name:TAEC REMOTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:L
Authorized Official - Last Name:RINKENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-564-8902
Mailing Address - Street 1:210 N TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-4367
Mailing Address - Country:US
Mailing Address - Phone:214-564-8902
Mailing Address - Fax:972-566-2372
Practice Address - Street 1:210 N TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4367
Practice Address - Country:US
Practice Address - Phone:214-564-8902
Practice Address - Fax:972-566-2372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center