MEDICARE: HANGER PROSTHETICS & ORTHOTICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7716547	OTHER	TX	AETNA
2	1049666	OTHER	TX	CIGNA
3	5609664	OTHER	TX	FIRST HEALTH
4	10018764	OTHER		AMERIGROUP

General Provider Information

NPI Number	:	1285814962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 N MAYS ST STE 1200
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-2742
Country	:	US
Telephone Number	:	512-255-4400
Fax Number	:	512-255-4404

Authorized Official
Title or Position	:	REGULATORY COMPLIANCE ANALYST II
Name	:	GRACE ANGELINE
Credential	:
Telephone Number	:	714-961-2102

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	12/09/2024

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