Organization
LUNG DOCTORS FOR CHILDREN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M REMBECKI MD, PHD (MANAGING MEMBER)
(469) 878-6185
Entity
Organization
Contact information
Practice address
751 W MAIN ST, SUITE 200, LEWISVILLE, TX 75067-3513
(927) 219-5864
(972) 219-5866
Mailing address
751 W MAIN ST, SUITE 200, LEWISVILLE, TX 75067-3513
(927) 219-5864
(972) 219-5866
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
J2461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015857-0082
PACIFICARE
TX
05
—
1151805-04
—
TX
01
—
2916754
AETNA
TX
01
—
2934692002
CIGNA
TX
01
—
A003
TRICARE
TX
Enumeration date
01/05/2012
Last updated
01/09/2012
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