Healthcare Provider Details
I. General information
NPI: 1164055695
Provider Name (Legal Business Name): TREME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2020
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5616 WARREN PKWY STE 100
FRISCO TX
75034-4165
US
IV. Provider business mailing address
101 N GREENVILLE AVE.STE C #59 #59
ALLEN TX
75002-8507
US
V. Phone/Fax
- Phone: 214-817-4226
- Fax: 469-754-0416
- Phone: 972-370-5771
- Fax: 469-754-0416
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246ZE0600X |
| Taxonomy | Electroneurodiagnostic Specialist/Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0600X |
| Taxonomy | Clinical Neurophysiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMEER
ALI
SYED
Title or Position: PRESIDENT
Credential: MD
Phone: 972-370-5771