1700930633 CUSTOM REHAB OF SOUTH TEXAS, INC.

Customized Equipment (DME)

Active

Basic Information

Organization Name
CUSTOM REHAB OF SOUTH TEXAS, INC.
Enumeration Date
January 22, 2007
Last Update
July 7, 2011
Authorized Official
MRS. LORENA MATTHIESEN
PRESIDENT
Phone: (979) 793-7570

Practice Location

Address
12907 HIGHWAY 36
NEEDVILLE, TX 77461
Phone
(979) 793-7570
Fax
(979) 793-5540

Mailing Address

Address
PO BOX 467
NEEDVILLE, TX 774610467
Phone
(979) 793-7570
Fax
(979) 793-5540

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Customized Equipment (DME)
Customized Equipment
332BC3200X Durable Medical Equipment & Medical Supplies N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
10023796 01 TX AMERIGROUP PROVIDER #
519066 01 TX BLUE CROSS BLUE SHIELD
010008301 05 TX N/A
011390401 05 TX N/A

Frequently Asked Questions

What is CUSTOM REHAB OF SOUTH TEXAS, INC.'s NPI number?
CUSTOM REHAB OF SOUTH TEXAS, INC.'s NPI number is 1700930633.
Which doctor has NPI number 1700930633?
The doctor with NPI number 1700930633 is CUSTOM REHAB OF SOUTH TEXAS, INC..
What is CUSTOM REHAB OF SOUTH TEXAS, INC.'s practice address?
CUSTOM REHAB OF SOUTH TEXAS, INC.'s practice address is 12907 HIGHWAY 36, NEEDVILLE, TX, 77461.
Which doctor practices at 12907 HIGHWAY 36, NEEDVILLE, TX, 77461?
CUSTOM REHAB OF SOUTH TEXAS, INC. practices at 12907 HIGHWAY 36, NEEDVILLE, TX, 77461.
What is CUSTOM REHAB OF SOUTH TEXAS, INC.'s mailing address?
CUSTOM REHAB OF SOUTH TEXAS, INC.'s mailing address is PO BOX 467, NEEDVILLE, TX, 774610467.
What is CUSTOM REHAB OF SOUTH TEXAS, INC.'s phone number?
CUSTOM REHAB OF SOUTH TEXAS, INC.'s phone number is (979) 793-7570.
Who is (979) 793-7570?
(979) 793-7570 is the phone number for CUSTOM REHAB OF SOUTH TEXAS, INC..
What is CUSTOM REHAB OF SOUTH TEXAS, INC.'s specialty?
CUSTOM REHAB OF SOUTH TEXAS, INC.'s specialty is Customized Equipment (DME).
What type of doctor is CUSTOM REHAB OF SOUTH TEXAS, INC.?
CUSTOM REHAB OF SOUTH TEXAS, INC. is a Customized Equipment (DME).
Is CUSTOM REHAB OF SOUTH TEXAS, INC. a Customized Equipment?
Yes, CUSTOM REHAB OF SOUTH TEXAS, INC. is a Customized Equipment.
Is CUSTOM REHAB OF SOUTH TEXAS, INC. still practicing?
Yes, CUSTOM REHAB OF SOUTH TEXAS, INC. is currently practicing.
Is CUSTOM REHAB OF SOUTH TEXAS, INC. accepting new patients?
CUSTOM REHAB OF SOUTH TEXAS, INC. may be accepting new patients. Please call their office at (979) 793-7570 to inquire about availability.
Is NPI 1700930633 still active?
Yes, NPI 1700930633 is currently active.
Where does CUSTOM REHAB OF SOUTH TEXAS, INC. practice?
CUSTOM REHAB OF SOUTH TEXAS, INC. practices in NEEDVILLE, TX.