Provider Demographics
NPI:1992417471
Name:REMEDY MEDICAL GROUP LLC
Entity type:Organization
Organization Name:REMEDY MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-878-7398
Mailing Address - Street 1:1708 SPRING GREEN BLVD STE 120-120
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7462
Mailing Address - Country:US
Mailing Address - Phone:832-878-7398
Mailing Address - Fax:866-520-4030
Practice Address - Street 1:1708 SPRING GREEN BLVD STE 120-120
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7462
Practice Address - Country:US
Practice Address - Phone:832-878-7398
Practice Address - Fax:866-520-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies