Red Diamond Medical Group PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RED DIAMOND MEDICAL GROUP PLLC

Doing business as

Physicians' Choice Specialty Care

Practice address

2700 Tibbets Dr # 301
Bedford, TX 76022

Phone

(817) 779-4514

Fax

(817) 779-4608

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Tiffanie Samuelson

Title

Billing Manager

Phone

(817) 778-9441

Specialties & licenses 2

Addresses

Other names 1

• Physicians' Choice Specialty Care Doing business as

Locations

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1861972556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR # 301",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225928",
            "telephone_number": "817-779-4514",
            "fax_number": "817-779-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR # 301",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76022",
            "telephone_number": "817-779-4514",
            "fax_number": "817-779-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DIAMOND MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-778-9441"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians' Choice Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humaira Rasool, APRN-CNP
• Rafia Abdul Rauf, MD
• Aisha Raza, PHARMD
• Brian David Read, MPT
• Allison Reber
• Srinivas P Reddy, M.D.
• Todd H Reeb, RNFA
• Alice Marie Reed, FNP
• Reerees Home Help
• Renaissance RX, LLC (Renaissance Rx)

• Multi-Specialty Clinic/Center in Bedford, TX
• Providers in Bedford, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.