Provider Demographics
NPI:1295938710
Name:REMARKABLE CARE, P.A.
Entity type:Organization
Organization Name:REMARKABLE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KLESMIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-772-4567
Mailing Address - Street 1:2927 RIDGE ROAD
Mailing Address - Street 2:STE 111
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6672
Mailing Address - Country:US
Mailing Address - Phone:972-772-4567
Mailing Address - Fax:972-772-4569
Practice Address - Street 1:2927 RIDGE RD
Practice Address - Street 2:STE 111
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6672
Practice Address - Country:US
Practice Address - Phone:972-772-4567
Practice Address - Fax:972-772-4569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
00Y652Medicare PIN