Custom Rehab Of South Texas, Inc.
Customized Equipment
12907 Highway 36, Needville
Texas, 77461
979-793-7570 979-793-5540
Custom Rehab Of South Texas, Inc. is a Customized Equipment in Needville, Texas. It is located at 12907 Highway 36, Needville and it's customer support contact number is 979-793-7570. The authorized person of Custom Rehab Of South Texas, Inc. is Mrs. Lorena Matthiesen who is President of this DME and her contact number is 979-793-7570.
Custom Rehab Of South Texas, Inc. is a medical supplier who supplies 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.
DME Supplier Details:
Custom Rehab Of South Texas, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Custom Rehab Of South Texas, Inc. |
| Type: | Customized Equipment |
| Location: | 12907 Highway 36, Needville,
Texas, 77461 |
| Phone: | 979-793-7570 |
| Fax: | 979-793-5540 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Lorena Matthiesen |
| Position: | President |
| Contact Number: | 979-793-7570 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1700930633 |
| NPI Enumeration Date: | 22 Jan, 2007 |
| NPI Last Update On: | 07 Jul, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Rehab Of South Texas, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10023796 | Other | Texas | Amerigroup Provider # |
| 519066 | Other | Texas | Blue Cross Blue Shield |
| 010008301 | Medicaid | Texas | |
| 011390401 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 467,
Needville, Texas |
| Zip: | 77461-0467 |
| Phone Number: | 979-793-7570 |
| Fax Number: | 979-793-5540 |
Patients can reach Custom Rehab Of South Texas, Inc. at
12907 Highway 36, Needville, Texas or can
call on customer care at 979-793-7570.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.