Organization
RED DIAMOND MEDICAL GROUP PLLC
Active
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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