Provider Demographics
NPI:1700926987
Name:TEJAS MANAGEMENT SYSTEMS, INC
Entity Type:Organization
Organization Name:TEJAS MANAGEMENT SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-994-7770
Mailing Address - Street 1:PO BOX 270505
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78427-0505
Mailing Address - Country:US
Mailing Address - Phone:361-994-7770
Mailing Address - Fax:361-994-7775
Practice Address - Street 1:5872 EVERHART RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3613
Practice Address - Country:US
Practice Address - Phone:361-994-7770
Practice Address - Fax:361-994-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001007547OtherHCS CONTRACT NUMBER
TX001010591OtherTX HOME LIVING CONTRACT #