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Organization

INTEGRATED REHABILITATION SYSTEMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIK JACKSON STRADER PROFESSIONAL ENGINEE (OWNER)
(972) 313-0186
Entity
Organization

Contact information

Practice address
1128 LUKE ST, IRVING, TX 75061-4004
(972) 313-0186
(972) 986-9093
Mailing address
1128 LUKE ST, IRVING, TX 75061-4004
(972) 313-0186
(972) 986-9093

Taxonomy

Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
530711
BCBSTX
TX
Enumeration date
03/13/2007
Last updated
09/11/2025
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