Organization
FORT WORTH EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H WILLIAM RANELLE DO (PRESIDENT)
(817) 732-5593
Entity
Organization
Contact information
Practice address
5000 COLLINWOOD AVE, FORT WORTH, TX 76107-3606
(817) 732-5593
(817) 342-0388
Mailing address
5000 COLLINWOOD AVE, FORT WORTH, TX 76107-3606
(817) 732-5593
(817) 342-0388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D5460
TX
207W00000X
Ophthalmology Physician
M2035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084873101
—
TX
01
—
180025391
RAILROAD MEDICARE
TX
01
—
1831192046
HWR NPI
TX
01
—
CS4432
RAILROAD MEDICARE GROUP
TX
Enumeration date
01/11/2007
Last updated
02/25/2008
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