| Doctor Name: | JUAN RANGO |
| NPI Number: | 1417360785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 31592 |
| Business Practice Address: | 7050 Air Depot Blvd Bldg 1094 Tinker Afb, OK - 731458716 |
| Business Phone Number: | 4055526610 |
| Business Fax Number: | |
| Mailing Address: | 7050 Air Depot Blvd Bldg 1094, Tinker Afb TINKER AFB |
| State: | OK |
| Postal Code: | 731458716 |
| Phone Number: | 6163070498 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2014 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 31592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |