Healthcare Provider Details

I. General information

NPI: 1548050024
Provider Name (Legal Business Name): DANIEL AARON RUPPERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYLOR PLZ
HOUSTON TX
77030-3498
US

IV. Provider business mailing address

1340 W GRAY ST APT 415
HOUSTON TX
77019-4066
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-4321
  • Fax:
Mailing address:
  • Phone: 985-590-9142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberBP10094663
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: