MEDICARE: THE REMEDY INFUSION PLUS WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WI0500X	Infusion Therapy Registered Nurse

General Provider Information

NPI Number	:	1235883463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE REMEDY INFUSION PLUS WELLNESS LLC

Provider Business Mailing Address
First Line	:	1010 W EXCHANGE PKWY STE 2120
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-7116
Country	:	US
Telephone Number	:	972-958-1816
Fax Number	:	844-875-1193

Provider Business Practice Location Address
First Line	:	1010 W EXCHANGE PKWY STE 2120
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-7116
Country	:	US
Telephone Number	:	972-958-1816
Fax Number	:	844-875-1193

Authorized Official
Title or Position	:	CEO
Name	:	VREITTA SMITH
Credential	:	RN
Telephone Number	:	469-656-1725

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	04/18/2023

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