Rediclinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REDICLINIC, LLC

Doing business as

RediClinic

Practice address

20725 State Highway 46 W
Spring Branch, TX 78070-6270

Phone

(713) 335-1754

NPI assigned

Jun 30, 2011

Organization subpart

Yes

Parent organization

REDICLINIC, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Danielle Barrera

Title

Chief Operating Officer

Phone

(713) 580-9489

Specialties & licenses 1

Addresses

Other names 1

• RediClinic Doing business as

Part of

Rediclinic LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1346537198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ",
            "address_2": "STE. 2950",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20725 STATE HIGHWAY 46 W",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706270",
            "telephone_number": "713-335-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDICLINIC, LLC",
        "enumeration_date": "2011-06-30",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "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": [
        {
            "organization_name": "RediClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa E Ponti, M.S. CCC-SLP
• Elizabeth Provost, LCSW
• Adriane Rae, LPC-ASSOCIATE
• Kimberly Ramcharan, DC
• Teri Ramirez, RPH
• Renew Family Holdings LLC (Renew Texas Family Chiropractic)
• Giovan Alberto Reyes-Mercado
• Kristin Riggs
• Jose Daniel Rodrigues Nunes, FNP-C
• Kimberly Sue Rodriquez, SLP

• Clinic/Center in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.