Individual
PAULA KAY RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
573482
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP112360
TX
363LF0000X
Family Nurse Practitioner
573482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162821601
—
TX
05
—
162821602
—
TX
05
—
162821604
—
TX
01
—
8Y3537
BLUE CROSS BLUE SHIELD
TX
01
—
P00936708
MEDICARE RR
TX
01
—
P01186479
RR MEDICARE
TX
Enumeration date
11/03/2006
Last updated
01/17/2017
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