MEDICARE: ALLIED REHAB & MEDICAL SUPPLY

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	332B00000X	Durable Medical Equipment & Medical Supplies	B334278	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	:	1962400358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED REHAB & MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	11045 LANDSWALK DR
Second Line	:	#109
City	:	HOUSTON
State	:	TX
Zip	:	77099-3450
Country	:	US
Telephone Number	:	713-884-7584
Fax Number	:

Provider Business Practice Location Address
First Line	:	6065 HILLCROFT ST
Second Line	:	SUITE304
City	:	HOUSTON
State	:	TX
Zip	:	77081-1087
Country	:	US
Telephone Number	:	713-884-7584
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CORNELIUS EJIKE IKE
Credential	:
Telephone Number	:	713-884-7584

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	01/18/2011

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Directions to “ALLIED REHAB & MEDICAL SUPPLY ” Practice Location

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