Provider Demographics
NPI:1780103861
Name:REMEDY PEDIATRICS PLLC
Entity type:Organization
Organization Name:REMEDY PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GABRYSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-900-5844
Mailing Address - Street 1:2512 SOUTH INTERSTATE 35 FRONTAGE RD.
Mailing Address - Street 2:SUITE 310
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704
Mailing Address - Country:US
Mailing Address - Phone:512-900-5844
Mailing Address - Fax:
Practice Address - Street 1:2512 SOUTH INTERSTATE 35 FRONTAGE RD.
Practice Address - Street 2:SUITE 310
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704
Practice Address - Country:US
Practice Address - Phone:512-900-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty