Basic Information
| Provider Information | |||||||||
| NPI: | 1255803318 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TANGENT MEDICAL SOLUTIONS, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 220 O CONNOR RIDGE BLVD STE 105 | ||||||||
| Address2: | |||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750386573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2145602000 | ||||||||
| FaxNumber: | 2145602555 | ||||||||
| Practice Location | |||||||||
| Address1: | 220 O CONNOR RIDGE BLVD STE 105 | ||||||||
| Address2: | |||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750386573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2145602000 | ||||||||
| FaxNumber: | 2145602555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2018 | ||||||||
| LastUpdateDate: | 01/07/2022 | ||||||||
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| AuthorizedOfficialLastName: | GROYSMAN | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | SOLE MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 4696006241 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 01/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208VP0000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | 225400000X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner | 208VP0014X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.