Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. TIMOTHY J RUPP
Active
Individual
DR. TIMOTHY J RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
113028
MT
207P00000X
Emergency Medicine Physician
12846217-1205
UT
207P00000X
Emergency Medicine Physician
C129547
CA
207P00000X
Emergency Medicine Physician
Primary
K6282
TX
207P00000X
Emergency Medicine Physician
M-16868
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104620304
—
TX
Enumeration date
08/10/2006
Last updated
10/13/2023
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