Reddick, Robert

Reddick, Robert is an individual health care provider with primary practice located at 7703 Floyd Curl Dr , San Antonio TX 78229-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Reddick, Robert can be contacted via phone (210) 450-9000.

Contact Information

Primary practice address
7703 Floyd Curl Dr San Antonio TX 78229-3901
Fax: (210) 450-4903
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X K7420 Texas

Profile Details

NPI number 1588674139
LBN Legal business name Reddick, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated May 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588674139 NPPES
Texas Other 042627202 CIDC
Texas Other 220022834 CIDC
Texas MEDICAID 042627201 CIDC

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