Redistaff LLC

Organization Active NPI Contractor · Houston, TX

NPI 1124233036 · NPPES record last updated Jan 29, 2008

Key facts

NPI
1124233036
Entity type
Organization (NPI type 2)
Primary specialty
Contractor 171W00000X
License
K7693 (TX)
Legal business name
REDISTAFF LLC
Practice address
5858 Westheimer Rd
Suite 306
Houston, TX 77057-5650
Phone
(832) 295-0921
Fax
(713) 334-2528
NPI assigned
May 14, 2007
Organization subpart
No

Authorized official

Name
Valerie D Vera
Title
Director of Credentialing
Phone
(832) 295-0921

National Provider Directory

Locations

5858 Westheimer Rd
Ste 306
Houston, TX 77057
Phone (713) 584-9159

5858 Westheimer Rd
Ste 400
Houston, TX 77057
Phone (713) 584-9159

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193200000X MULTI-SPECIALTY GROUP
171W00000X K7693 TX Yes

Addresses

Primary practice location

5858 Westheimer Rd
Suite 306
Houston, TX 77057-5650

Mailing address

5858 Westheimer Rd
Suite 400
Houston, TX 77057-5650
Phone (832) 295-0921

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2008.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1124233036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 WESTHEIMER RD",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575650",
            "telephone_number": "832-295-0921",
            "fax_number": "713-334-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 WESTHEIMER RD",
            "address_2": "SUITE 306",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575650",
            "telephone_number": "832-295-0921",
            "fax_number": "713-334-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDISTAFF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "832-295-0921"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "TX",
            "license": "K7693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.