Rediclinic LLC
Clinic/Center in Philadelphia, PA. Organization (NPI-2).
NPI number1700904331
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1700904331
- Entity type
- Organization (NPI-2)
- Legal business name
- Rediclinic LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
3200 Red Lion Rd # 92Philadelphia, PA 19114-1129
Phone 866-935-0333 · Fax 713-935-9353
Mailing address
18059 Crescent Royale WayHumble, TX 77346-3467
Phone 713-935-0333 · Fax 713-935-9353
Authorized official
Rick Van Pelt
Vp Of Operations
7139350333
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