Provider Demographics
NPI:1255939104
Name:CARRINGTON, RANCE (RT (R))
Entity type:Individual
Prefix:
First Name:RANCE
Middle Name:
Last Name:CARRINGTON
Suffix:
Gender:M
Credentials:RT (R)
Other - Prefix:
Other - First Name:RANCE
Other - Middle Name:
Other - Last Name:CARRINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RT (R)
Mailing Address - Street 1:101 HILL DR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TX
Mailing Address - Zip Code:76380-2325
Mailing Address - Country:US
Mailing Address - Phone:940-631-9142
Mailing Address - Fax:940-631-2993
Practice Address - Street 1:1137 W CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TX
Practice Address - Zip Code:76380-1552
Practice Address - Country:US
Practice Address - Phone:940-889-3551
Practice Address - Fax:940-889-3551
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001266310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility