| Doctor Name: | SAMUEL TEDFORD REMER |
| NPI Number: | 1760415780 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | G7573 |
| Business Practice Address: | 2505 Wycliff Ave Dallas, TX - 752192551 |
| Business Phone Number: | 2142195551 |
| Business Fax Number: | 2142191554 |
| Mailing Address: | 9229 Lyndon B Johnson Fwy, Ste 250 DALLAS |
| State: | TX |
| Postal Code: | 752433405 |
| Phone Number: | 9727393097 |
| Fax Number: | 9727392673 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G7573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |