Organization
REDICLINIC OF VA, LLC
Active
Parent organization
REDICLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDICLINIC, LLC
Authorized official
DANIELLE BARRERA (CHIEF OPERATING OFFICER)
(713) 580-9489
Entity
Organization
Contact information
Practice address
2260A HUNTERS WOODS PLZ, RESTON, VA 20191-2898
(713) 358-4881
(713) 358-4881
Mailing address
9 GREENWAY PLZ, SUITE 2950, HOUSTON, TX 77046-0905
(713) 335-1731
(713) 574-2794
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
12/16/2015
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