| Reddix Family Healthcare Llc | |
|
6819 Reisterstown Rd Ste 103 Baltimore MD 21215-1418 | |
| (410) 585-0124 | |
| (410) 585-0127 |
| Full Name | Reddix Family Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6819 Reisterstown Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Irance Reddix (OWNER) |
| Authorized Official Contact | 3183485622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reddix Family Healthcare Llc 9903 Braewood Rd Randallstown MD 21133-1505 Ph: (410) 747-6040 | Reddix Family Healthcare Llc 6819 Reisterstown Rd Ste 103 Baltimore MD 21215-1418 Ph: (410) 585-0124 |
| NPI Number | 1376758391 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 11/06/2010 |
| Medicare PECOS PAC ID | 4981517570 |
|---|---|
| Medicare Enrollment ID | O20071004000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376758391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0064454 (Maryland) | Primary |
| Provider Name | Irance E Reddix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659310431 PECOS PAC ID: 0042123630 Enrollment ID: I20071004000572 |
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