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General NPI Number Information
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NPI Number | 1962517672
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Entity Type | Organization
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Legal Business Name | TEXAS ENT & ALLERGY ASSOCIATES, LLP
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1730 BIRMINGHAM RD
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City | COLLEGE STATION
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State | TX
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Zip | 77845-4063
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Country | US
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Telephone | 979-693-6000
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Fax | 979-693-1900
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Provider Business Mailing Address
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Address Line | PO BOX 165899
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City | IRVING
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State | TX
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Zip | 75016-5899
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Country | US
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Telephone | 979-693-6000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD B KUPPERSMITH
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Credential | M.D.
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Telephone | 979-693-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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