Rediclinic Us, LLC
Clinic/Center in Weatherford, TX. Organization (NPI-2).
NPI number1790952075
StatusActive
Last updated in NPPESMay 15, 2008
Details
- NPI
- 1790952075
- Entity type
- Organization (NPI-2)
- Legal business name
- Rediclinic Us, LLC
- Organization subpart
- Yes
- Enumeration date
- May 15, 2008
- Last updated
- May 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Rediclinic (Doing Business As)
Practice location
1836 S Main StWeatherford, TX 76086-5506
Phone 866-607-7334
Mailing address
9 Greenway Plz Ste 2950Houston, TX 77046-0924
Phone 866-607-7334 · Fax 713-358-4801
Authorized official
Rick Vanpelt
Coo
7135800462
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