MEDICARE: RST UNIVERSAL, INC

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
1	341600000X	Ambulance	101289	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1215006796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RST UNIVERSAL, INC

Provider Business Mailing Address
First Line	:	PO BOX 58313
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8313
Country	:	US
Telephone Number	:	713-738-8500
Fax Number	:	713-738-8502

Provider Business Practice Location Address
First Line	:	3745 ALMEDA GENOA RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-3832
Country	:	US
Telephone Number	:	713-738-8500
Fax Number	:	713-738-8502

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRAYZILL STEVENSON
Credential	:
Telephone Number	:	281-808-8595

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	10/28/2013

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Directions to “RST UNIVERSAL, INC ” Practice Location

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