Individual
TIMOTHY F RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 HOSPITAL PKWY, SUITE 210, BEDFORD, TX 76022-5934
(817) 540-3121
(817) 355-4511
Mailing address
1615 HOSPITAL PKWY, SUITE 210, BEDFORD, TX 76022-5934
(817) 540-3121
(817) 355-4511
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N2744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049993
BLUEGRASS
KY
01
—
000000363275
ANTHEM BLUE CROSS
KY
01
—
100045915
PHP TENNCARE
TN
05
—
3891058
—
TN
01
—
4086723
BLUE CROSS BLUE SHIELD
TN
01
—
62089728905
UHC RIVER VALLEY
TN
05
—
64098965
—
KY
01
—
7689535
AETNA
TN
Enumeration date
08/29/2005
Last updated
11/21/2017
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