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NPI Code Detail

MEDICARE: DR. ANN RANELLE DO

MEDICARE: DR. ANN RANELLE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianM2035TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17981779OTHERTXAETNA
27314728OTHERTXCIGNA
31417007527OTHERTXBCBS GROUP
4M2035OTHERTXSTATE MEDICAL LICENSE
51427030139OTHERTXBCBS

General Provider Information

NPI Number : 1427030139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN RANELLE DO
Provider Business Mailing Address
First Line : 5000 COLLINWOOD AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-3606
Country : US
Telephone Number : 817-732-5593
Fax Number : 817-342-0388
Provider Business Practice Location Address
First Line : 5000 COLLINWOOD AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-3606
Country : US
Telephone Number : 817-732-5593
Fax Number : 817-342-0388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 09/29/2020

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Practice Location Address:
5000 COLLINWOOD AVE
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76107-3606
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5000 COLLINWOOD AVE
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76107-3606
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Practice Fax: 817-342-0388
1063650430 — FORT WORTH EYE ASSOCIATES
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5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
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Practice Fax:
1215375928 — DR. TYLER MOORE MD
Practice Location Address:
5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
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1083296552 — ARKO GHOSH MD
Practice Location Address:
5000 COLLINWOOD AVE
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76107-3606
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Practice Fax: 817-732-5499

Directions to “ DR. ANN RANELLE DO” Practice Location

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