Organization
TANGRAM REHABILITATION NETWORK, INC.
Active
Other names
Tx Hill County School
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 630-7425
Entity
Organization
Contact information
Practice address
5309 TEXAS LONE STAR TRL, MAXWELL, TX 78656-3610
(512) 396-8811
Mailing address
1320 WONDER WORLD DR STE 104, SAN MARCOS, TX 78666-7558
(512) 396-1200
(512) 396-2024
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848
—
TX
Enumeration date
05/30/2007
Last updated
08/05/2022
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