| E Remenchik MD PLLC | |
|
717 N 4th St Suite 3 Longview TX 75601-5438 | |
| (903) 758-0020 | |
| (903) 758-0067 |
| Full Name | E Remenchik MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 717 N 4th St, Longview, Texas |
| Authorized Official Name and Position | Ellen Jean Remenchik (SOLE MEMBER) |
| Authorized Official Contact | 9035530353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Remenchik MD PLLC 717 N 4th St Suite 3 Longview TX 75601-5438 Ph: (903) 758-0020 | E Remenchik MD PLLC 717 N 4th St Suite 3 Longview TX 75601-5438 Ph: (903) 758-0020 |
| NPI Number | 1831406842 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 01/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831406842 | NPI | - | NPPES |
| 218907801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G8366 (Texas) | Primary |
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