Provider Demographics
NPI:1861405250
Name:RANKIN, RON K (MD)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:K
Last Name:RANKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1531
Mailing Address - Country:US
Mailing Address - Phone:806-350-8277
Mailing Address - Fax:806-350-7875
Practice Address - Street 1:2501 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1531
Practice Address - Country:US
Practice Address - Phone:806-350-8277
Practice Address - Fax:806-350-7875
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EL448OtherBCBS
TX096962803Medicaid
TX359515ZHVZMedicare PIN
TX096962803Medicaid
TX8630B6Medicare PIN