Organization Name: | REDI-CARE MEDICAL CLINIC |
NPI Number: | 1417399387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUGUSTA I UMENYI (ADMINISTRATOR) |
Mailing Address: | 4355 Highway 6 N Houston |
State: | TX US |
Postal Code: | 770843446 |
Phone Number: | 2818584000 |
Fax Number: | 2818584001 |
NPI Enumeration Date: | 07/22/2013 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |