Provider Demographics
NPI:1588647226
Name:UNITED REHAB SPECIALISTS, INC.
Entity Type:Organization
Organization Name:UNITED REHAB SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:ROBISON
Authorized Official - Last Name:HAGELSTEIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:254-399-0444
Mailing Address - Street 1:6807B WOODWAY DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6146
Mailing Address - Country:US
Mailing Address - Phone:254-399-0444
Mailing Address - Fax:
Practice Address - Street 1:6807B WOODWAY DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6146
Practice Address - Country:US
Practice Address - Phone:254-399-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0073075332B00000X, 332BC3200X, 332BP3500X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163838904Medicaid
TX163838901Medicaid
TX163838903Medicaid
TX163838902Medicaid
TX163838903Medicaid