Active NPI
Rediclinic Austin, LLC
- Clinic/Center
- Austin, TX
National Provider Identifier
1063530632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- REDICLINIC AUSTIN, LLC
- Practice address
- 11521 Ranch Road 620 N
Austin, TX 78726-1139 - Phone
- (713) 935-0333
- Fax
- (713) 935-9353
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Barrera
- Title
- Coo
- Phone
- (713) 580-9489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
11521 Ranch Road 620 N
Austin, TX 78726-1139
Mailing address
9 Greenway Plaza
Suite 2950
Houston, TX 77046-0905
Phone (713) 935-0333
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401926400000",
"number": "1063530632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREENWAY PLAZA",
"address_2": "SUITE 2950",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460905",
"telephone_number": "713-935-0333",
"fax_number": "713-358-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11521 RANCH ROAD 620 N",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787261139",
"telephone_number": "713-935-0333",
"fax_number": "713-935-9353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDICLINIC AUSTIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2014-06-05",
"status": "A",
"authorized_official_last_name": "BARRERA",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "713-580-9489"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.