Provider Demographics
NPI:1285814962
Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Entity Type:Organization
Organization Name:HANGER PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:HANGER CLINC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE SPECIALIST III
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-961-2102
Mailing Address - Street 1:PO BOX 650846
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0846
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4001 N MAYS ST STE 1200
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-2742
Practice Address - Country:US
Practice Address - Phone:512-255-4400
Practice Address - Fax:512-255-4404
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-09
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
10018764OtherAMERIGROUP
TX7716547OtherAETNA
TX1049666OtherCIGNA
TX5609664OtherFIRST HEALTH