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Organization
CUSTOM REHAB OF NORTH TEXAS, INC.
Active
Organization
CUSTOM REHAB OF NORTH TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA SHIELDS CRTS (CEO)
(214) 744-3606
Entity
Organization
Contact information
Practice address
810 S SAINT PAUL ST, DALLAS, TX 75201-6216
(214) 744-3606
(214) 744-3609
Mailing address
810 S SAINT PAUL ST, DALLAS, TX 75201-6216
(214) 744-3606
(214) 744-3609
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0085543
TX
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
11/06/2006
Last updated
09/11/2025
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