Provider Demographics
NPI:1497831010
Name:RANGEL, DELLANIRA (DC)
Entity Type:Individual
Prefix:
First Name:DELLANIRA
Middle Name:
Last Name:RANGEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 KATY FWY STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1444
Mailing Address - Country:US
Mailing Address - Phone:713-647-6619
Mailing Address - Fax:713-672-4164
Practice Address - Street 1:9525 KATY FWY STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1444
Practice Address - Country:US
Practice Address - Phone:713-647-6619
Practice Address - Fax:713-672-4164
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor