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Individual
DR. TY RANKIN JOHNSON
Active
Individual
DR. TY RANKIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M2357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175898901
—
TX
05
—
175898902
—
TX
01
—
8S4436
BLUE CROSS PROV ID
TX
01
—
P00260478
RAILROAD - MEDICARE
TX
Enumeration date
11/28/2006
Last updated
08/13/2020
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