Organization
REHAB SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LANCE TAYLOR (CEO)
(832) 331-5710
Entity
Organization
Contact information
Practice address
1868 W MOCKINGBIRD LN, DALLAS, TX 75235-5013
(972) 323-9393
(972) 323-9262
Mailing address
7100 GRAND BLVD, HOUSTON, TX 77054-3408
(713) 791-1101
(713) 791-1047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011137901
—
TX
05
—
017189401
—
TX
05
—
017189402
—
TX
05
—
017189403
—
TX
01
—
10032272
AMERIGROUP
TX
01
—
530596
BCBS
TX
Enumeration date
03/23/2006
Last updated
11/13/2009
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