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Rediclinic LLC

Organization Active NPI Clinic/Center · Cedar Park, TX

NPI 1801914130 · NPPES record last updated Oct 6, 2008

Key facts

NPI
1801914130
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
REDICLINIC LLC
Practice address
170 E Whitestone Blvd
Cedar Park, TX 78613-6902
Phone
(713) 935-0333
Fax
(713) 935-9353
NPI assigned
Mar 26, 2007
Organization subpart
No

Authorized official

Name
Mr. Eric Fournet
Title
Cfo
Phone
(713) 580-9468

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Rediclinic LLC (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

170 E Whitestone Blvd
Cedar Park, TX 78613-6902

Mailing address

9 Greenway PLZ
Suite 2950
Houston, TX 77046-0905
Phone (713) 935-0333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2008.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1801914130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ",
            "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": "170 E WHITESTONE BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136902",
            "telephone_number": "713-935-0333",
            "fax_number": "713-935-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "FOURNET",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-580-9468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

All providers in Cedar Park, TX · Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.