Rediclinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

717330 Issued in TX

Legal business name

REDICLINIC

Practice address

701 W Parkwood Ave
Friendswood, TX 77546-5405

Phone

(281) 947-0018

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Mica Maleigh Wynn Vela, NP-C

Title

Family Nurse Practitioner

Phone

(832) 632-2170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1669725941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 VENETO CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PARKWOOD AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465405",
            "telephone_number": "281-947-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "WYNN VELA",
        "authorized_official_first_name": "MICA",
        "authorized_official_middle_name": "MALEIGH",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-632-2170",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "717330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David M Redding, DC
• Elizabeth Reed-Kraus
• Shamair Reed
• Lorianne M Reeves, MA,LPS,LMFT,CEAP
• Regina Carrillo,LLC
• Jennifer Regino

• Clinic/Center in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.