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Individual

DR. RICHARD MICHAEL REMBECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1397 WEIMER RD, TAOS, NM 87571
(800) 755-6236
Mailing address
1394 BOWIE LN, FRISCO, TX 75033-1542
(469) 704-8696
(439) 208-5333

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J2461
TX
208000000X
Pediatrics Physician
Primary
MD2014-0873
NM
2080P0214X
Pediatric Pulmonology Physician
J2461
TX
2080P0214X
Pediatric Pulmonology Physician
MD2014-0873
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0025KC
BLUE CROSS
TX
01
015857-0082
PACIFICARE
TX
05
1151805-04
TX
01
2916754
AETNA
TX
01
2934692002
CIGNA
TX
01
3342580
BLUE LINK
TX
01
A003
TRICARE
TX
Enumeration date
03/09/2006
Last updated
04/25/2022
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