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Organization

REDICLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICK VANPELT (VP OF OPERATIONS)
(866) 935-0333
Entity
Organization

Contact information

Practice address
12200 CHATTANOOGA PLZ, MIDLOTHIAN, VA 23112-4865
(866) 935-0333
(713) 935-9353
Mailing address
18059 CRESCENT ROYALE WAY, HUMBLE, TX 77346-3467
(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
08/22/2020
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