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Organization
R.B. REDDY ENTERPRISES, INC
Active
Organization
R.B. REDDY ENTERPRISES, INC
Active
Other names
Reddy's Physical Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAGHURAMI B REDDY PT (PRESIDENT)
(409) 832-4141
Entity
Organization
Contact information
Practice address
3475 FANNIN ST, BEAUMONT, TX 77701-3807
(409) 832-4141
(409) 832-8484
Mailing address
3475 FANNIN ST, BEAUMONT, TX 77701-3807
(409) 832-4141
(409) 832-8484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1080695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067JB
BCBS OF TX PROVIDER #
TX
01
—
7159559
CIGNA PROVIDER #
TX
Enumeration date
12/16/2006
Last updated
07/28/2010
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