Organization
REHAB SPECIALTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMIE L HENDRICKSON (ACCOUNT MANAGER)
(713) 791-1011
Entity
Organization
Contact information
Practice address
7100 GRAND BLVD, B, HOUSTON, TX 77054-3408
(713) 791-1011
(713) 791-1011
Mailing address
7100 GRAND BLVD, B, HOUSTON, TX 77054-3408
(713) 791-1011
(713) 791-1011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010432501
—
TX
05
—
012007301
—
TX
05
—
079450501
—
TX
05
—
079450502
—
TX
01
—
519844
BCBS
TX
Enumeration date
03/21/2006
Last updated
08/20/2008
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