Provider Demographics
NPI:1790169845
Name:RICHARD M REMBECKI MD PHD, PA
Entity Type:Organization
Organization Name:RICHARD M REMBECKI MD PHD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:REMBECKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:469-208-5333
Mailing Address - Street 1:8811 TEEL PKWY
Mailing Address - Street 2:STE 100-5596
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4201
Mailing Address - Country:US
Mailing Address - Phone:469-208-5333
Mailing Address - Fax:
Practice Address - Street 1:8811 TEEL PKWY
Practice Address - Street 2:STE 100-5596
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4201
Practice Address - Country:US
Practice Address - Phone:469-208-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Single Specialty