| Richard Earl Rupp, MD | |
|
400 Harborside Drive, Suite 120, Galveston, TX 77555 | |
| (409) 747-7334 | |
| (409) 747-9252 |
| Full Name | Richard Earl Rupp |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 400 Harborside Drive, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700893625 | NPI | - | NPPES |
| 13519004 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | J9316 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Earl Rupp, MD 400 Harborside Drive, Island Pediatrics Suite 120, Galveston, TX 77555 Ph: (409) 747-7334 | Richard Earl Rupp, MD 400 Harborside Drive, Suite 120, Galveston, TX 77555 Ph: (409) 747-7334 |
Dr. Ann Blakley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3695 Fax: 832-340-2350 | |
Stephanie Therese Chung, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Oscar W. Brown, Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3303 Fax: 409-747-4995 | |
David P Mccormick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Akila Muthukumar, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Chanthu Pillai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3365 Fax: 409-747-2213 | |
Shivaiah Balachandra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |