CUSTOM REHAB OF NORTH TEXAS, INC.
Medical Equipment Supplier Yellow Pages
Dallas, Texas
Provider NPI: 1285703397
Organization Information:Organization Name: CUSTOM REHAB OF NORTH TEXAS, INC.
Practice Location:
810 S SAINT PAUL ST DALLAS, TX 75201 US
Tel: 214-744-3606 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
810 S SAINT PAUL ST DALLAS, TX 75201 US
Tel: 214-744-3606 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | TX | 0085543 |
X | 332BC3200X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS | 515568 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin