Provider Demographics
NPI:1326347337
Name:RANGEL, SORAYA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SORAYA
Middle Name:
Last Name:RANGEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 WISTERIA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2037
Mailing Address - Country:US
Mailing Address - Phone:956-451-7232
Mailing Address - Fax:956-683-7185
Practice Address - Street 1:2010 S CYNTHIA ST
Practice Address - Street 2:110
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1386
Practice Address - Country:US
Practice Address - Phone:956-687-6963
Practice Address - Fax:956-683-7185
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04700363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical