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NPI Code Detail

MEDICARE: DR. GABRIEL TARANGO D.O.

MEDICARE: DR. GABRIEL TARANGO D.O.
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
1207Q00000XFamily Medicine PhysicianN5429TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N5429OTHERTXTEXAS MEDICAL BOARD

General Provider Information

NPI Number : 1891921599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL TARANGO D.O.
Provider Business Mailing Address
First Line : PO BOX 2070
Second Line :
City : ORANGE GROVE
State : TX
Zip : 78372-2070
Country : US
Telephone Number : 361-382-2024
Fax Number : 855-606-6314
Provider Business Practice Location Address
First Line : 408 N GIRAUD
Second Line :
City : COTULLA
State : TX
Zip : 78014-3113
Country : US
Telephone Number : 830-879-2279
Fax Number : 830-879-2235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2009
Last Update Date : 02/25/2025

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