Organization · Type 2 NPI
Rediclinic LLC
Clinic/Center · Fayetteville, AR
NPI number
1114067519
Active
Practice location
3911 North Mall Avenue
Fayetteville, AR 72703
Fax (713) 358-4801
Mailing address
9 Greenway Plaza, Suite 2950
Houston, TX 77046-0905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1114067519
Rediclinic LLC's National Provider Identifier is 1114067519, issued on Feb 7, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fayetteville, AR. The record was last updated on Jan 20, 2009.