Individual
RICHARD M WUPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N INTERSTATE 35 STE 708, AUSTIN, TX 78705-1860
(512) 347-7463
(737) 202-2561
Mailing address
3000 N INTERSTATE 35 STE 708, AUSTIN, TX 78705-1860
(512) 347-7463
(737) 202-2561
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M8440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00760229
MEDICARE RETIREMENT
—
Enumeration date
01/04/2007
Last updated
01/26/2022
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