Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | G2462 | TX |
NPI | 1033237235 |
---|---|
Provider Name | Ronald Michael Rance |
First Address | Houston, TX 77018-8148 |
Second Address | Houston, TX 77018-8148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 16/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126547206 | (05) | TX |
C20842 | (02) | TX |
G2462 | MEDICAL LICENSE NUMBER (01) | TX |