MEDICARE: MR. RENATO O. ANG M.D.

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	208000000X	Pediatrics Physician	L2100	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548265184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RENATO O. ANG M.D.

Provider Business Mailing Address
First Line	:	801 E. NOLANA
Second Line	:	STE 13-A
City	:	MCALLEN
State	:	TX
Zip	:	78504
Country	:	US
Telephone Number	:	956-686-2700
Fax Number	:	956-686-2708

Provider Business Practice Location Address
First Line	:	1500 UNIVERSITY DR E
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-2600
Country	:	US
Telephone Number	:	979-693-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	06/12/2025

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