Individual
DR. ANN RANELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
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
M2035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417007527
BCBS GROUP
TX
01
—
1427030139
BCBS
TX
01
—
7314728
CIGNA
TX
01
—
7981779
AETNA
TX
01
—
M2035
STATE MEDICAL LICENSE
TX
Enumeration date
11/17/2005
Last updated
09/29/2020
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