Provider Demographics
NPI:1114232295
Name:RANGEL, RODOLFO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RODOLFO
Middle Name:
Last Name:RANGEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 RAVENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7857
Mailing Address - Country:US
Mailing Address - Phone:956-793-3738
Mailing Address - Fax:956-265-1365
Practice Address - Street 1:2033 RAVENWOOD LN
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7857
Practice Address - Country:US
Practice Address - Phone:956-793-3738
Practice Address - Fax:956-265-1365
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX487261835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist