Individual
MICHAEL D REDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7700
(713) 704-5734
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E1243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82424R
BCBS
TX
Enumeration date
06/14/2006
Last updated
02/11/2008
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