Organization
SELECT REHAB OF EAST TEXAS, INC.
Active
Other names
Select Medical of East Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L HAMM (PRESIDENT)
(903) 234-2444
Entity
Organization
Contact information
Practice address
802 N HIGH ST, LONGVIEW, TX 75601-5378
(903) 234-2444
(903) 234-1868
Mailing address
802 N HIGH ST, LONGVIEW, TX 75601-5378
(903) 234-2444
(903) 234-1868
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530610
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/20/2006
Last updated
09/11/2025
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