Individual
ROBERT N. REDDIX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 S SONCY RD STE 104, AMARILLO, TX 79119-6405
(806) 398-3627
(806) 351-7801
Mailing address
367 S GULPH RD, ATN :IPM CREDENTIALING, ATN :IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(806) 398-3627
(806) 351-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L7133
TX
207X00000X
Orthopaedic Surgery Physician
2006-00209
NC
207X00000X
Orthopaedic Surgery Physician
Primary
L7133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163848806
—
TX
01
—
1U8019
PTAN
TX
05
—
200993410A
—
OK
05
—
42056560
—
NM
01
—
8U1283
BCBS
TX
01
—
P01447545
RAILROAD MEDICARE
TX
01
—
P01666362
RAILROAD MEDICARE
TX
Enumeration date
04/03/2006
Last updated
10/15/2021
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