Tangram Rehabilitation Network, Inc.

NPI #1992906721 in Maxwell, Texas

Provider Information

NPI Number: 1992906721
Entity Type: Organization
Organization Name: Tangram Rehabilitation Network, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 30, 2007
Last Updated: Aug 5, 2022

Practice Location

Address: 5309 TEXAS LONE STAR TRL
City: Maxwell
State: Texas
ZIP Code: 78656-3610
Phone: (512) 396-8811

Authorized Official

Name: ANGIE MATTINGLY
Title: MGR PROVIDER ENROLLMENT
Phone: (502) 630-7425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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