Healthcare Provider Details

I. General information

NPI: 1285016345
Provider Name (Legal Business Name): RANGELS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 LAGO TRL STE 100
LONGVIEW TX
75604-2751
US

IV. Provider business mailing address

1407 LAGO TRL STE 100
LONGVIEW TX
75604-2751
US

V. Phone/Fax

Practice location:
  • Phone: 903-247-3444
  • Fax: 903-247-3853
Mailing address:
  • Phone: 903-247-3444
  • Fax: 903-247-3853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number51603
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number51603
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number50606
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number50606
License Number StateTX

VIII. Authorized Official

Name: MRS. APRIL RANGEL
Title or Position: OWNER
Credential: H.I.S.
Phone: 903-247-3444