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NPI Code Detail

MEDICARE: UNITED REHAB SPECIALISTS OF DALLAS L. P.

MEDICARE: UNITED REHAB SPECIALISTS OF DALLAS L. P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)
3335E00000XProsthetic/Orthotic Supplier
4332BC3200XCustomized Equipment (DME)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821019035
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED REHAB SPECIALISTS OF DALLAS L. P.
Provider Business Mailing Address
First Line : 6807B WOODWAY DR
Second Line :
City : WACO
State : TX
Zip : 76712-6146
Country : US
Telephone Number : 254-399-0444
Fax Number : 254-772-0266
Provider Business Practice Location Address
First Line : 4801 READING ST
Second Line :
City : DALLAS
State : TX
Zip : 75247-6716
Country : US
Telephone Number : 214-658-9097
Fax Number : 214-658-9051
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD
Name : MR. RICK HAGELSTEIN
Credential :
Telephone Number : 254-399-0444
Provider Enumeration Date : 07/22/2006
Last Update Date : 09/29/2010

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