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Custom Rehab Of South Texas, Inc.
Customized Equipment (DME) in Needville, Texas
NPI 1700930633

Custom Rehab Of South Texas, Inc. is a Customized Equipment (DME) based in Needville, TX and is specialized in Customized Equipment. Custom Rehab Of South Texas, Inc. practices in Needville, TX. The NPI Number for Custom Rehab Of South Texas, Inc. is 1700930633 and holds a License No. (Texas).

The current practice location address for Custom Rehab Of South Texas, Inc. is 12907 Highway 36, Needville, TX and can be reached out via phone at 979-793-7570 and via fax at 979-793-5540.

Location: 12907 Highway 36, Needville, TX, 77461-0467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700930633
Provider Name
Custom Rehab Of South Texas, Inc.
Credential
Provider Entity Type
Organization
Address
12907 Highway 36, Needville, TX, 77461-0467
Phone Number
979-793-7570
Fax Number
979-793-5540
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10023796 01 TX AMERIGROUP PROVIDER #
519066 01 TX BLUE CROSS BLUE SHIELD
010008301 05 TX
011390401 05 TX
institution
Provider Business Practice Location Address Details
Address
12907 Highway 36
City
Needville
State
Texas
Zip
77461
Phone Number
979-793-7570
Fax Number
979-793-5540
person
Provider Business Mailing Address Details
Address
12907 Highway 36
City
Needville
State
Texas
Zip
77461
Phone Number
979-793-7570
Fax Number
979-793-5540
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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