MEDICARE: REHAB SPECIALTIES, 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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

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
2	10032272	OTHER	TX	AMERIGROUP
3	530596	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699734988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB SPECIALTIES, INC

Provider Business Mailing Address
First Line	:	7100 GRAND BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3408
Country	:	US
Telephone Number	:	713-791-1101
Fax Number	:	713-791-1047

Provider Business Practice Location Address
First Line	:	1868 W MOCKINGBIRD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-5013
Country	:	US
Telephone Number	:	972-323-9393
Fax Number	:	972-323-9262

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT LANCE TAYLOR
Credential	:
Telephone Number	:	832-331-5710

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	11/13/2009

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Directions to “REHAB SPECIALTIES, INC ” Practice Location

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