Organization
RED DIAMOND MEDICAL GROUP PLLC
Active
Other names
Physicians' Choice Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANIE SAMUELSON (BILLING MANAGER)
(817) 778-9441
Entity
Organization
Contact information
Practice address
2700 TIBBETS DR # 301, BEDFORD, TX 76022
(817) 779-4514
(817) 779-4608
Mailing address
2700 TIBBETS DR # 301, BEDFORD, TX 76022-5928
(817) 779-4514
(817) 779-4608
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
10/09/2018
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