Provider Demographics
NPI:1720310238
Name:REDSTART P.A.
Entity Type:Organization
Organization Name:REDSTART P.A.
Other - Org Name:DFW NEUROPATHY CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-291-3451
Mailing Address - Street 1:905 FERRIS AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-2556
Mailing Address - Country:US
Mailing Address - Phone:972-937-0086
Mailing Address - Fax:972-923-2351
Practice Address - Street 1:731 BLUFF RIDGE DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-4538
Practice Address - Country:US
Practice Address - Phone:972-291-3451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty