Individual
AUSTIN RUPPANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, NP-C
Contact information
Practice address
2205 MOURNING DOVE LN, LORENA, TX 76655-3141
(432) 770-6626
Mailing address
2418 W MAIN ST, GUN BARREL CITY, TX 75156-3638
(903) 713-2000
(903) 713-2004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1006389
TX
Other
Enumeration date
09/15/2020
Last updated
01/28/2021
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