MEDICARE: ARTURO RANGEL JR. FNP-C

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	363LF0000X	Family Nurse Practitioner	1109070	TX

General Provider Information

NPI Number	:	1700588878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTURO RANGEL JR. FNP-C

Provider Business Mailing Address
First Line	:	16735 LA CANTERA PKWY APT 3203
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78256-1777
Country	:	US
Telephone Number	:	956-290-0042
Fax Number	:

Provider Business Practice Location Address
First Line	:	1602 MCCULLOUGH AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4434
Country	:	US
Telephone Number	:	210-468-1891
Fax Number	:

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

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	03/21/2023

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