Individual provider · Type 1 NPI

Edward L. Ruppenthal, PA

Medical Physician Assistant · Conroe, TX

NPI number 1407895337 Active

Practice location

508 Medical Center Blvd
Conroe, TX 77304-2808

Fax (936) 756-1471

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01769 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1407895337

Edward L. Ruppenthal, PA's National Provider Identifier is 1407895337, issued on Jun 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Conroe, TX. The record was last updated on Jul 8, 2007.