Johnny Ray Lange in San Antonio - Licensed Vocational Nurse

Johnny Ray Lange - NPI 1356550487

Johnny Ray Lange is a Licensed Vocational Nurse in San Antonio, Texas. Johnny Ray Lange practices all healthcare services and medical treatments related to Licensed Vocational Nurse. The NPI Number for Johnny Ray Lange is 1356550487. The last update date is 2007-07-08.

Johnny Ray Lange's current location address is 5507 Royal Vista Dr, San Antonio, Texas. You can contact this provider via phone number 2106504794. The mailing address for Johnny Ray Lange is 5507 Royal Vista Dr, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnny Ray Lange
Address 5507 Royal Vista Dr, San Antonio, Texas
Phone Number 2106504794
Fax Number
Sole Proprietor Y
Credentials LVN

NPI Number Detail

NPI Number 1356550487
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5507 Royal Vista Dr
City San Antonio
State Texas (TX)
Post Code 782474669
Phone Number 2106504794
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Vocational Nurse
Taxonomy 164X00000X
Licence No 157145
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from

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FAQs about Johnny Ray Lange

What is the unique 10-digit identification code assigned to Johnny Ray Lange by the Centers for Medicare & Medicaid Services?

The Johnny Ray Lange has been issued the NPI (National Provider Identifier) 1356550487, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Johnny Ray Lange's facilities are situated?

The facilities of Johnny Ray Lange are physically located at the following address: 5507 Royal Vista Dr, San Antonio, TX, 782474669.

What is the Johnny Ray Lange's specialty and taxonomy code?

The Johnny Ray Lange's specialty is Licensed Vocational Nurse, and the corresponding taxonomy code is 164X00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1356550487 to Johnny Ray Lange?

The Centers for Medicare & Medicaid Services assigned the 1356550487 to Johnny Ray Lange on 2007-05-22.

When was the information regarding Johnny Ray Lange, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Johnny Ray Lange, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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