1528107141 NPI number — REDICLINIC LLC

Table of content: (NPI 1528107141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528107141 NPI number — REDICLINIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REDICLINIC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528107141
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 GREENWAY PLAZA
Provider Second Line Business Mailing Address:
SUITE 2950
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77046-0905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-935-0333
Provider Business Mailing Address Fax Number:
713-358-4801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12101 E 96TH ST N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWASSO
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74055-5320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-935-0333
Provider Business Practice Location Address Fax Number:
713-358-4801
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FOURNET
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
713-580-9468

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 600522427 . This is a "PTAN" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




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