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
2301 W KENOSHA ST, BROKEN ARROW, OK 74012-8912
(866) 935-0333
(713) 935-9353
Mailing address
9 GREENWAY PLZ, SUITE 2950, HOUSTON, TX 77046-0905
(866) 935-0333
(713) 935-9353
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
01/15/2009
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