Individual
DR. MARCELINA RUPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1016 N VIRGINIA ST, PORT LAVACA, TX 77979-3000
(361) 552-0325
(361) 500-6904
Mailing address
1016 N VIRGINIA ST, PORT LAVACA, TX 77979-3000
(361) 552-0325
(361) 500-6904
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J2771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
MEDICARE GROUP NUMBER
TX
01
—
1083752059
GROUP NPI
—
05
—
1379281-12
—
TX
05
—
137928101
—
TX
05
—
137928106
—
TX
05
—
137928115
—
TX
01
—
1447372123
GROUP TX HEALTHSTEP NPI
—
01
—
183956501
GROUP MEDICAID
TX
01
—
183956502
GROUP MEDICAID TXHEALTHSTEP
TX
Enumeration date
07/06/2005
Last updated
09/12/2024
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