| Rediclinic Of Va, Llc | |
|
2260a Hunters Woods Plz Reston VA 20191-2898 | |
| (713) 358-4881 | |
| (713) 358-4881 |
| Full Name | Rediclinic Of Va, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2260a Hunters Woods Plz, Reston, Virginia |
| Authorized Official Name and Position | Danielle Barrera (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7135809489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediclinic Of Va, Llc 9 Greenway Plz Suite 2950 Houston TX 77046-0905 Ph: (713) 335-1731 | Rediclinic Of Va, Llc 2260a Hunters Woods Plz Reston VA 20191-2898 Ph: (713) 358-4881 |
| NPI Number | 1790140903 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790140903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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