Provider Demographics
NPI:1487705612
Name:REHAB AFFILIATES, INC
Entity type:Organization
Organization Name:REHAB AFFILIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-481-7730
Mailing Address - Street 1:9150 HUEBNER RD
Mailing Address - Street 2:STE 340
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1545
Mailing Address - Country:US
Mailing Address - Phone:210-481-7730
Mailing Address - Fax:210-481-7731
Practice Address - Street 1:9150 HUEBNER RD
Practice Address - Street 2:STE 340
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1545
Practice Address - Country:US
Practice Address - Phone:210-481-7730
Practice Address - Fax:210-481-7731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0081DLOtherBCBS
TX4628650001Medicare NSC
TX0081DLOtherBCBS