Individual
DR. GRADY PATRICK RUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19792 HIGHWAY 105 W STE 300, MONTGOMERY, TX 77356-6107
(936) 220-4313
(936) 220-4312
Mailing address
19792 HIGHWAY 105 W STE 300, MONTGOMERY, TX 77356-6107
(936) 220-4313
(936) 220-4312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10916
TX
Other
Enumeration date
07/14/2023
Last updated
08/21/2025
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