MEDICARE: REMEDY MEDICAL GROUP 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1992417471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMEDY MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	1708 SPRING GREEN BLVD STE 120-120
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7462
Country	:	US
Telephone Number	:	832-878-7398
Fax Number	:	866-520-4030

Provider Business Practice Location Address
First Line	:	1708 SPRING GREEN BLVD STE 120-120
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7462
Country	:	US
Telephone Number	:	832-878-7398
Fax Number	:	866-520-4030

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MR. DAVID ADESOKAN
Credential	:
Telephone Number	:	832-878-7398

Provider Enumeration Date	:	12/15/2022
Last Update Date	:	12/15/2022

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