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NPI Code Detail

MEDICARE: RALPH NICHOLAS TERPOLILLI M.D.

MEDICARE: RALPH NICHOLAS TERPOLILLI 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
1207P00000XEmergency Medicine PhysicianH0017TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18EA225OTHERTXBCBSTX

General Provider Information

NPI Number : 1942270079
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH NICHOLAS TERPOLILLI M.D.
Provider Business Mailing Address
First Line : 4502 MEDICAL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4402
Country : US
Telephone Number : 210-567-4292
Fax Number : 210-567-0757
Provider Business Practice Location Address
First Line : 211 HIGHLAND CROSS DR
Second Line : SUITE 275
City : HOUSTON
State : TX
Zip : 77073-1733
Country : US
Telephone Number : 281-784-1500
Fax Number : 281-209-8930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 03/05/2015

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