Basic Information
| Provider Information | |||||||||
| NPI: | 1417199258 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHAB SPECIALTIES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8666 HUEBNER RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782401844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106961084 | ||||||||
| FaxNumber: | 2106961085 | ||||||||
| Practice Location | |||||||||
| Address1: | 8666 HUEBNER RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782401844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106961084 | ||||||||
| FaxNumber: | 2106961085 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2009 | ||||||||
| LastUpdateDate: | 01/12/2011 | ||||||||
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| AuthorizedOfficialLastName: | TAYLOR | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7137911011 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 212572601 | 05 | TX | MEDICAID | 212572602 | 05 | TX | MEDICAID |