MEDICARE: LORI RHEMANN P.A.

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	363AM0700X	Medical Physician Assistant	PA01453	TX

General Provider Information

NPI Number	:	1396910188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI RHEMANN P.A.

Provider Business Mailing Address
First Line	:	458 FAUST LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-4702
Country	:	US
Telephone Number	:	713-465-2728
Fax Number	:

Provider Business Practice Location Address
First Line	:	25410 INTERSTATE 45 N
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1351
Country	:	US
Telephone Number	:	281-367-1414
Fax Number	:	281-363-5686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	04/23/2008

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