Provider Demographics
NPI:1992369888
Name:REGENMED LLC
Entity Type:Organization
Organization Name:REGENMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:281-497-2850
Mailing Address - Street 1:14441 MEMORIAL DR STE 16
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6737
Mailing Address - Country:US
Mailing Address - Phone:281-497-2850
Mailing Address - Fax:281-531-7910
Practice Address - Street 1:14441 MEMORIAL DR STE 16
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6737
Practice Address - Country:US
Practice Address - Phone:281-497-2850
Practice Address - Fax:281-531-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service