Provider Demographics
NPI:1821019035
Name:UNITED REHAB SPECIALISTS OF DALLAS L. P.
Entity Type:Organization
Organization Name:UNITED REHAB SPECIALISTS OF DALLAS L. P.
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:
Authorized Official - Last Name:HAGELSTEIN
Authorized Official - Suffix:
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:254-772-0266
Practice Address - Street 1:4801 READING ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6716
Practice Address - Country:US
Practice Address - Phone:214-658-9097
Practice Address - Fax:214-658-9051
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED REHAB SPECIALISTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-22
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163838905Medicaid
TX163838906Medicaid
TX163838905Medicaid