Rediclinic Llc | |
2301 W Kenosha St Broken Arrow OK 74012-8912 | |
(866) 935-0333 | |
(713) 935-9353 |
Full Name | Rediclinic Llc |
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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 |
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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 |
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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 | (* (Not Available)) | Primary |
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