Rediclinic LLC
Clinic/Center in Owasso, OK. Organization (NPI-2).
NPI number1528107141
StatusActive
Last updated in NPPESJan 20, 2009
Details
- NPI
- 1528107141
- Entity type
- Organization (NPI-2)
- Legal business name
- Rediclinic LLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2007
- Last updated
- Jan 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
12101 E 96th St NOwasso, OK 74055-5320
Phone 866-935-0333 · Fax 713-358-4801
Mailing address
9 Greenway PlazaSuite 2950
Houston, TX 77046-0905
Phone 866-935-0333 · Fax 713-358-4801
Authorized official
Eric Fournet
Cfo
7135809468
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All 7 Clinic/Center providers in Owasso · All 1,071 providers in Owasso
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