Organization
REDLINE TEIP LLC
Active
Other names
Redline Revive
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (MEMBER)
(713) 591-2256
Entity
Organization
Contact information
Practice address
1120 EDEN RD STE 104, ARLINGTON, TX 76001-7915
(713) 591-2256
Mailing address
940 S KIMBALL AVE STE 140, SOUTHLAKE, TX 76092-9023
(713) 591-2256
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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