Provider Demographics
NPI:1952502551
Name:VARTEX REHABILITATION SERVICES INC.
Entity Type:Organization
Organization Name:VARTEX REHABILITATION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:N
Authorized Official - Last Name:AMAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-630-4208
Mailing Address - Street 1:6633 WEST AIRPORT STE. 806
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-5279
Mailing Address - Country:US
Mailing Address - Phone:281-630-4208
Mailing Address - Fax:713-728-9719
Practice Address - Street 1:6633 WEST AIRPORT STE. 806
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-5279
Practice Address - Country:US
Practice Address - Phone:281-630-4208
Practice Address - Fax:713-728-9719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization