Provider Demographics
NPI:1922299569
Name:TARANGO, PATRICK AARON (PA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:AARON
Last Name:TARANGO
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Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 851008
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75185-1008
Mailing Address - Country:US
Mailing Address - Phone:972-682-1791
Mailing Address - Fax:972-698-7631
Practice Address - Street 1:3230 I-30
Practice Address - Street 2:SUITE 100
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150
Practice Address - Country:US
Practice Address - Phone:972-682-1791
Practice Address - Fax:972-698-7631
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2017-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04392363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical