Organization Active NPI

Remedium Health PLLC

  • Internal Medicine Physician
  • Coppell, TX
National Provider Identifier
1568008589
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REMEDIUM HEALTH PLLC
Practice address
783 N Denton Tap Rd Ste 150
Coppell, TX 75019-2129
Phone
(972) 315-2588
Fax
(214) 589-0012
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mirza Qasim Hasan, MD
Title
Member
Phone
(713) 589-8967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

783 N Denton Tap Rd Ste 150
Coppell, TX 75019-2129

Mailing address

783 N Denton Tap Rd Ste 150
Coppell, TX 75019-2129
Phone (972) 315-2588

National Provider Directory

National Provider Directory

Locations

450 S Denton Tap Rd
Unit 889
Coppell, TX 75019

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1568008589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 N DENTON TAP RD STE 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192129",
            "telephone_number": "972-315-2588",
            "fax_number": "214-589-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 N DENTON TAP RD STE 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192129",
            "telephone_number": "972-315-2588",
            "fax_number": "214-589-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIUM HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "QASIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-589-8967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.