Individual
RALPH CEPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 W 5TH ST, SUITE 410, ODESSA, TX 79761-5034
(432) 333-8808
(432) 333-8136
Mailing address
540 W 5TH ST, SUITE 410, ODESSA, TX 79761-5034
(432) 333-8808
(432) 333-8136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G4903
TX
207Y00000X
Otolaryngology Physician
Primary
G4903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130291105
—
TX
01
—
752245657
TAX ID
TX
Enumeration date
03/10/2006
Last updated
08/13/2015
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