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Individual
RENATE K RAGSDALE
Active
Individual
RENATE K RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
442959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10784740A
—
OK
05
—
109762804
—
TX
05
—
109762808
—
TX
01
—
837544U
BLUE CROSS
TX
01
—
89590U
BCBS
TX
Enumeration date
10/20/2006
Last updated
05/21/2014
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