MEDICARE: DIANA MARIE RANGEL RDN

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	133V00000X	Registered Dietitian	DT88854	TX

General Provider Information

NPI Number	:	1154004158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA MARIE RANGEL RDN

Provider Business Mailing Address
First Line	:	11616 PETERS RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79927-3229
Country	:	US
Telephone Number	:	915-261-5629
Fax Number	:

Provider Business Practice Location Address
First Line	:	9541 PLAZA CIR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79927-2005
Country	:	US
Telephone Number	:	915-213-2941
Fax Number	:

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

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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Directions to “ DIANA MARIE RANGEL RDN” Practice Location

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