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NPI Code Detail

MEDICARE: FORT WORTH EYE ASSOCIATES

MEDICARE: FORT WORTH EYE ASSOCIATES
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
2207W00000XOphthalmology PhysicianD5460TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2180025391OTHERTXRAILROAD MEDICARE
3CS4432OTHERTXRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41831192046OTHERTXHWR NPI

General Provider Information

NPI Number : 1417007527
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT WORTH EYE ASSOCIATES
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 : PRESIDENT
Name : DR. H WILLIAM RANELLE
Credential : DO
Telephone Number : 817-732-5593
Provider Enumeration Date : 01/11/2007
Last Update Date : 02/25/2008

Similar Medicare Providers

1831192046 — H WILLIAM RANELLE DO
Practice Location Address:
5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
Practice Phone: 817-732-5593
Practice Fax: 817-732-5499
1427030139 — DR. ANN RANELLE DO
Practice Location Address:
5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
Practice Phone: 817-732-5593
Practice Fax: 817-342-0388
1356386791 — MRS. KACY HUFFMAN PATE O.D.
Practice Location Address:
5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
Practice Phone: 817-732-5593
Practice Fax:
1063650430 — FORT WORTH EYE ASSOCIATES
Practice Location Address:
5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
Practice Phone: 817-732-9307
Practice Fax:
1215375928 — DR. TYLER MOORE MD
Practice Location Address:
5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
Practice Phone: 817-732-5593
Practice Fax: 817-342-0388
1083296552 — ARKO GHOSH MD
Practice Location Address:
5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606
Practice Phone: 817-732-5593
Practice Fax: 817-732-5499

Directions to “FORT WORTH EYE ASSOCIATES ” Practice Location

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