Rediclinic LLC

Clinic/Center · Broken Arrow, OK

Organization Active NPI

NPI number 1548309164

Practice location

2301 W Kenosha St
Broken Arrow, OK 74012-8912
Phone
(866) 935-0333
Fax
(713) 935-9353

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NPI record

NPI
1548309164
Entity type
Organization (Type 2)
Enumeration date
February 6, 2007
Last updated
January 15, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X — —

Mailing address

9 Greenway PLZ
Suite 2950
Houston, TX 77046-0905
Phone
(866) 935-0333
Fax
(713) 935-9353

Authorized official

Name
Eric P Fournet
Title
CFO
Phone
(713) 580-9468

About Rediclinic LLC

Rediclinic LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 2301 W Kenosha St, Broken Arrow, OK 74012-8912. The NPI number 1548309164 was assigned on February 6, 2007 and the record was last updated on January 15, 2009.

The authorized official for this organization is Eric P Fournet, CFO.

Frequently asked questions

What is the NPI number of Rediclinic LLC?

The NPI number is 1548309164.

What is the phone number of Rediclinic LLC?

The phone number listed for the practice location is (866) 935-0333.

Where is Rediclinic LLC located?

2301 W Kenosha St, Broken Arrow, OK 74012-8912.

What is the taxonomy code for Rediclinic LLC?

The primary taxonomy code is 261Q00000X – Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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