Individual
EDWARD L RUPPENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
508 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 760-7839
(936) 756-1471
Mailing address
508 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 760-7839
(936) 756-1471
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01769
TX
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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