Organization Active NPI

Rediclinic, LLC

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1891003919
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REDICLINIC, LLC
Doing business as
RediClinic
Practice address
20935 US Highway 281 N
San Antonio, TX 78258-7587
Phone
(210) 495-2400
Fax
(210) 495-2403
NPI assigned
Sep 23, 2010
Organization subpart
Yes
Parent organization
REDICLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Ms. Danielle Barrera
Title
Chief Operating Officer
Phone
(713) 580-9489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

20935 US Highway 281 N
San Antonio, TX 78258-7587

Mailing address

9 Greenway PLZ
Ste. 2950
Houston, TX 77046-0905

Other names 1

  • RediClinic Doing business as

National Provider Directory

National Provider Directory
Part of
Rediclinic LLC

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1891003919",
    "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": "20935 US HIGHWAY 281 N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587587",
            "telephone_number": "210-495-2400",
            "fax_number": "210-495-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDICLINIC, LLC",
        "enumeration_date": "2010-09-23",
        "last_updated": "2011-06-30",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "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"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.