Healthcare Provider Details

I. General information

NPI: 1285132225
Provider Name (Legal Business Name): RAUNE RANGEL ACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RAUNE OLIVEIRA

II. Dates (important events)

Enumeration Date: 01/24/2018
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 AIRPORT FWY STE 103
BEDFORD TX
76021-6603
US

IV. Provider business mailing address

1900 WILSHIRE DR
IRVING TX
75061-2911
US

V. Phone/Fax

Practice location:
  • Phone: 469-320-1267
  • Fax: 469-320-1267
Mailing address:
  • Phone: 469-789-4204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP136068
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: