NPI 1003218736

Rediclinic of PA, LLC

Organisation Clinic/Center Newtown Square, PA

Practice location

Address: 3599 W Chester Pike, Newtown Square, PA 19073-3701
Phone: (713) 335-1754
Mailing address: 9 Greenway Plz STE. 2950, Houston, TX 77046-0905

Authorised official

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

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Registry record

NPI: 1003218736
Entity type: Organization
NPI issued: 25 Sep 2014
Record last updated: 25 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.