| Rediclinic, LLC | |
|
1601 W State Highway 114 Grapevine TX 76051-8651 | |
| (866) 607-7334 | |
| Not Available |
| Full Name | Rediclinic, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1601 W State Highway 114, Grapevine, Texas |
| Authorized Official Name and Position | Rick Vanpelt (COO) |
| Authorized Official Contact | 7135800462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediclinic, LLC 9 Greenway Plz Ste 2950 Houston TX 77046-0924 Ph: (866) 607-7334 | Rediclinic, LLC 1601 W State Highway 114 Grapevine TX 76051-8651 Ph: (866) 607-7334 |
| NPI Number | 1083881429 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083881429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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