Provider Demographics
NPI:1073394490
Name:RANGEL, LETICIA V (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:LETICIA
Middle Name:V
Last Name:RANGEL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-3175
Mailing Address - Country:US
Mailing Address - Phone:830-393-1579
Mailing Address - Fax:830-393-1579
Practice Address - Street 1:499 10TH ST
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-3175
Practice Address - Country:US
Practice Address - Phone:830-393-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675929163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical