Healthcare Provider Details

I. General information

NPI: 1821019035
Provider Name (Legal Business Name): UNITED REHAB SPECIALISTS OF DALLAS L. P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 READING ST
DALLAS TX
75247-6716
US

IV. Provider business mailing address

6807B WOODWAY DR
WACO TX
76712-6146
US

V. Phone/Fax

Practice location:
  • Phone: 214-658-9097
  • Fax: 214-658-9051
Mailing address:
  • Phone: 254-399-0444
  • Fax: 254-772-0266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK HAGELSTEIN
Title or Position: CHAIRMAN OF THE BOARD
Credential:
Phone: 254-399-0444