Provider Demographics
NPI:1093240269
Name:RANGEL, JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:RANGEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-5027
Mailing Address - Country:US
Mailing Address - Phone:830-355-2732
Mailing Address - Fax:830-355-2738
Practice Address - Street 1:1028 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-5027
Practice Address - Country:US
Practice Address - Phone:830-355-2732
Practice Address - Fax:830-355-2738
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS6490208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics