RUPA PACHIGOLLA MD PSC NPI 1003013350

NPI Information

NPI: 1003013350
Provider Name: RUPA PACHIGOLLA MD PSC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2016 FORT WORTH HWY
WEATHERFORD, TX
ZIP 76086
Phone: (817) 596-8637
Get Directions

RUPA PACHIGOLLA MD PSC is a family medicine in Weatherford, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RUPA PACHIGOLLA MD PSC NPI is 1003013350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2016 FORT WORTH HWY
WEATHERFORD, TX
ZIP 76086-706
Phone: (817) 596-8637
Fax: (817) 599-3614

The provider's authorized official is Rupa Pachigolla .
The authorized official title is Physician and has the following contact phone number (817) 596-8637.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 4/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		N0337	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45D1093868	OTHER	TEXAS	CLIA #
2	00Z738	OTHER	TEXAS	MEDICARE GROUP PIN
3	N0337	OTHER	TEXAS	TEXAS LICENSE
4	197261401	MEDICAID	TEXAS
5	1639165731	OTHER		MCRE INDV NPI #
6	197259801	OTHER	TEXAS	MEDICAID GRP #
7	1003013350	MEDICAID	TEXAS
8	64071715	MEDICAID	KENTUCKY
9	38179	OTHER	KENTUCKY	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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