Provider Demographics
NPI:1982333902
Name:RANGEL PHYSICAL THERAPY & WELLNESS
Entity type:Organization
Organization Name:RANGEL PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:DOMINIC
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:361-815-2360
Mailing Address - Street 1:PO BOX 782243
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-2243
Mailing Address - Country:US
Mailing Address - Phone:361-815-2360
Mailing Address - Fax:
Practice Address - Street 1:2615 WHISPER HILL ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-3711
Practice Address - Country:US
Practice Address - Phone:361-815-2360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy