Provider Demographics
NPI: | 1841577053 |
---|---|
Name: | RAYMOND R REMMEL MD PA |
Entity Type: | Organization |
Organization Name: | RAYMOND R REMMEL MD PA |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | RAYMOND |
Authorized Official - Middle Name: | R |
Authorized Official - Last Name: | REMMEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 501-223-2633 |
Mailing Address - Street 1: | 11219 FINANCIAL CENTRE PKWY |
Mailing Address - Street 2: | SUITE 303 |
Mailing Address - City: | LITTLE ROCK |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72211-3800 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 501-223-2622 |
Mailing Address - Fax: | 501-223-8760 |
Practice Address - Street 1: | 11219 FINANCIAL CENTRE PKWY |
Practice Address - Street 2: | SUITE 303 |
Practice Address - City: | LITTLE ROCK |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72211-3800 |
Practice Address - Country: | US |
Practice Address - Phone: | 501-223-2622 |
Practice Address - Fax: | 501-223-8760 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-11-16 |
Last Update Date: | 2011-11-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Single Specialty |