Provider Demographics
NPI:1962644716
Name:REHAB SPECIALTIES, INC.
Entity Type:Organization
Organization Name:REHAB SPECIALTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-791-1011
Mailing Address - Street 1:1200 W POLK AVE
Mailing Address - Street 2:SUITE L
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-2138
Mailing Address - Country:US
Mailing Address - Phone:956-787-9511
Mailing Address - Fax:956-787-9986
Practice Address - Street 1:1200 W POLK AVE
Practice Address - Street 2:SUITE L
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2138
Practice Address - Country:US
Practice Address - Phone:956-787-9511
Practice Address - Fax:956-787-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX211908301Medicaid
TX211908302Medicaid
TX211908301Medicaid