Organization
REDICLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC P FOURNET (CFO)
(713) 580-9468
Entity
Organization
Contact information
Practice address
16900 N. FM 620, ROUND ROCK, TX 78664
(512) 687-0561
(713) 935-9353
Mailing address
9 GREENWAY PLAZA, STE 2950, HOUSTON, TX 77046-0905
(713) 935-0333
(713) 935-9353
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
03/04/2009
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