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 |