Healthcare Provider Details

I. General information

NPI: 1033237235
Provider Name (Legal Business Name): RONALD MICHAEL RANCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 NORTH LOOP W STE 390
HOUSTON TX
77018-8148
US

IV. Provider business mailing address

1919 NORTH LOOP W STE 299
HOUSTON TX
77008-1368
US

V. Phone/Fax

Practice location:
  • Phone: 832-708-2686
  • Fax: 713-694-6067
Mailing address:
  • Phone: 713-955-7345
  • Fax: 832-648-7747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberG2462
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG2462
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: