Provider Demographics
NPI:1518772508
Name:ACOSTA-RANGEL, MIGUEL ANTONIO (DC)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:ANTONIO
Last Name:ACOSTA-RANGEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WAKE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3641
Mailing Address - Country:US
Mailing Address - Phone:972-922-3346
Mailing Address - Fax:
Practice Address - Street 1:111 S DELAWARE ST
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-3031
Practice Address - Country:US
Practice Address - Phone:972-922-3346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15092111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist