Provider Demographics
NPI:1952867749
Name:REMY PREMIER HEALTH SERVICES
Entity Type:Organization
Organization Name:REMY PREMIER HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:314-406-9081
Mailing Address - Street 1:3450 W CHEYENNE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-8223
Mailing Address - Country:US
Mailing Address - Phone:702-451-0172
Mailing Address - Fax:702-451-0173
Practice Address - Street 1:3450 W CHEYENNE AVE STE 200
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-8223
Practice Address - Country:US
Practice Address - Phone:702-451-0172
Practice Address - Fax:702-451-0173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-16
Last Update Date:2019-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty