MEDICARE: RALPH GARRETT CIPRIANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A164481	CA
2	207R00000X	Internal Medicine Physician	MT212195	PA
3	207R00000X	Internal Medicine Physician	300505	NY
4	207RI0011X	Interventional Cardiology Physician	U4770	TX

General Provider Information

NPI Number	:	1821541442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH GARRETT CIPRIANO M.D.

Provider Business Mailing Address
First Line	:	501 RITA LN STE 101
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2010
Country	:	US
Telephone Number	:	817-545-4550
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 RITA LN STE 101
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2010
Country	:	US
Telephone Number	:	817-545-4550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2016
Last Update Date	:	09/18/2023

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