Organization
REDICLINIC OF PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BARRERA (CHIEF OPERATING OFFICER)
(713) 580-9489
Entity
Organization
Contact information
Practice address
1535 W CHESTER PIKE, WEST CHESTER, PA 19382-7705
(713) 335-1742
(713) 358-4881
Mailing address
9 GREENWAY PLZ, STE. 2950, HOUSTON, TX 77046-0905
(713) 335-1754
(713) 358-4870
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
09/04/2015
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