Individual
DR. ELLEN JEAN REMENCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 CANNERY ROW, LINDALE, TX 75771
(903) 882-3194
(903) 882-7405
Mailing address
103 CANNERY ROW, LINDALE, TX 75771
(903) 882-3194
(903) 882-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196118
CA
207R00000X
Internal Medicine Physician
G8366
TX
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
35447
AZ
2083X0100X
Occupational Medicine Physician
G8366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138384615
—
TX
05
—
138384621
—
TX
01
—
P00456696
RR MEDICARE
TX
Enumeration date
11/04/2005
Last updated
06/06/2025
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