| Rediclinic LLC | |
|
2301 W Kenosha St Broken Arrow OK 74012-8912 | |
| (866) 935-0333 | |
| (713) 935-9353 |
| Full Name | Rediclinic LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 2301 W Kenosha St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Eric P Fournet (CFO) |
| Authorized Official Contact | 7135809468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediclinic LLC 9 Greenway Plz Suite 2950 Houston TX 77046-0905 Ph: (866) 935-0333 | Rediclinic LLC 2301 W Kenosha St Broken Arrow OK 74012-8912 Ph: (866) 935-0333 |
| NPI Number | 1548309164 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548309164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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