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NPI Code Detail

MEDICARE: PAULA E REMBERT MD

MEDICARE: PAULA E REMBERT MD
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
1207VG0400XGynecology PhysicianMD018978LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508863556
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA E REMBERT MD
Provider Business Mailing Address
First Line : 919 HIDDEN RDG
Second Line :
City : IRVING
State : TX
Zip : 75038-3813
Country : US
Telephone Number : 469-282-2711
Fax Number : 469-282-0996
Provider Business Practice Location Address
First Line : 1453 E BERT KOUNS LOOP
Second Line : SUITE 221
City : SHREVEPORT
State : LA
Zip : 71105-6800
Country : US
Telephone Number : 318-795-4766
Fax Number : 318-795-4763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 01/02/2017

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Directions to “ PAULA E REMBERT MD” Practice Location

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