Provider Demographics
NPI:1891921599
Name:TARANGO, GABRIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:TARANGO
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:PO BOX 2070
Mailing Address - Street 2:
Mailing Address - City:ORANGE GROVE
Mailing Address - State:TX
Mailing Address - Zip Code:78372-2070
Mailing Address - Country:US
Mailing Address - Phone:830-879-2279
Mailing Address - Fax:830-879-2235
Practice Address - Street 1:408 N GIRAUD
Practice Address - Street 2:
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014-3113
Practice Address - Country:US
Practice Address - Phone:830-879-2279
Practice Address - Fax:830-879-2235
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5429207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN5429OtherTEXAS MEDICAL BOARD
TXN5429OtherTEXAS MEDICAL BOARD