Healthcare Provider Details

I. General information

NPI: 1679541528
Provider Name (Legal Business Name): BENJAMIN J REMINGTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 MARSH LN STE 400
PLANO TX
75093-8497
US

IV. Provider business mailing address

2301 MARSH LN STE 400
PLANO TX
75093-8497
US

V. Phone/Fax

Practice location:
  • Phone: 209-571-0288
  • Fax: 209-571-0327
Mailing address:
  • Phone: 209-571-0288
  • Fax: 209-571-0327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA76179
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberS6290
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: