| Rediclinic Of Wa, Llc | |
|
18022 68th Avenue Ne Kenmore WA 98028-2702 | |
| (713) 335-1754 | |
| Not Available |
| Full Name | Rediclinic Of Wa, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 18022 68th Avenue Ne, Kenmore, Washington |
| 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 Wa, Llc 9 Greenway Plz Ste. 2950 Houston TX 77046-0905 Ph: (713) 335-1754 | Rediclinic Of Wa, Llc 18022 68th Avenue Ne Kenmore WA 98028-2702 Ph: (713) 335-1754 |
| NPI Number | 1588060974 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588060974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Evergreen Medical Group Kenmore Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18208 66th Ave Ne, Ste 200, Kenmore, WA 98028 Phone: 425-485-6561 Fax: 425-488-4939 |