Organization
REMORA BAY CO.
Active
Parent organization
TEXASEDI CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXASEDI CORP.
Authorized official
MR. DALLAS RICHARDSON (CIO)
(317) 430-0140
Entity
Organization
Contact information
Practice address
500 SPENCER LN, BIG SANDY, TN 38221-4012
(317) 430-0140
(317) 430-0140
Mailing address
500 SPENCER LN, BIG SANDY, TN 38221-4012
(317) 430-0140
(317) 430-0140
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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