MEDICARE: KAYLA RUOPP

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	363A00000X	Physician Assistant	PA19647	TX

General Provider Information

NPI Number	:	1518740349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA RUOPP

Provider Business Mailing Address
First Line	:	2770 SUMMER ST APT 253
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18700 KATY FWY STE 603
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-0012
Country	:	US
Telephone Number	:	832-522-8280
Fax Number	:

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

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	10/10/2025

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Directions to “ KAYLA RUOPP ” Practice Location

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