| Rediclinic Llc | |
|
12101 E 96th St N Owasso OK 74055-5320 | |
| (866) 935-0333 | |
| (713) 358-4801 |
| Full Name | Rediclinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 12101 E 96th St N, Owasso, Oklahoma |
| Authorized Official Name and Position | Eric 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 Plaza Suite 2950 Houston TX 77046-0905 Ph: (866) 935-0333 | Rediclinic Llc 12101 E 96th St N Owasso OK 74055-5320 Ph: (866) 935-0333 |
| NPI Number | 1528107141 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528107141 | NPI | - | NPPES |
| 600522427 | Other | OK | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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