Provider Demographics
NPI:1699734988
Name:REHAB SPECIALTIES, INC
Entity type:Organization
Organization Name:REHAB SPECIALTIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-331-5710
Mailing Address - Street 1:7100 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3408
Mailing Address - Country:US
Mailing Address - Phone:713-791-1101
Mailing Address - Fax:713-791-1047
Practice Address - Street 1:1868 W MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5013
Practice Address - Country:US
Practice Address - Phone:972-323-9393
Practice Address - Fax:972-323-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017189403Medicaid
TX10032272OtherAMERIGROUP
TX530596OtherBCBS
TX011137901Medicaid
TX017189402Medicaid
TX017189401Medicaid
1051700003Medicare NSC