Organization
REDICLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK VANPELT (VP OF OPERATIONS)
(866) 935-0333
Entity
Organization
Contact information
Practice address
2464 ROSWELL RD, MARIETTA, GA 30062-4954
(713) 580-0450
(713) 358-4845
Mailing address
18059 CRESCENT ROYALE WAY, HUMBLE, TX 77346-3467
(866) 935-0333
(713) 935-9353
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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