Most Relevant Information
Provider Data
| NPI Number: | 1003397795 |
| Provider Name: | TANGIE RENE LEVRETS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2035145 |
Most Important Dates
| Enumeration Date: | 08/22/2018 |
| Last Updated: | 08/22/2018 |
Provider Practice Location
616 N MAIN ST STE A
LINDALE
TX
757716426
Practice Location Phone/Fax
| Phone: | 9038826400 |
| Fax: | 9038826404 |
Provider Mailing Location
616 N MAIN ST STE A
LINDALE
TX
757716426
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |