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Individual

CODY JACK RANKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
590 MEDICAL CENTER ROAD, FORT HOOD, TX 76544
(208) 520-9311
Mailing address
2001 VERNICE DR, COPPERAS COVE, TX 76522-7593
(208) 520-9311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/15/2024
Last updated
07/30/2025
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