NPI age
19 years
Enumerated 2007-06-29
● Active Type 2 · Organization
Rupa Pachigolla MD Psc
Rupa Pachigolla MD Psc is 1 of 16,219 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pachigolla
Physician
Last NPPES update
2022-04-28
Source: CMS NPPES provider record
How this organization compares
Across 16219 active family medicine providers in Texas.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2022
2007-06Enumerated in NPPES
2007
2022
Where they practice
Primary practice location
2016 Fort Worth Hwy
Weatherford, TX 760864706
Mailing address
2016 Fort Worth Hwy
Weatherford, TX 760864706
Authorized official
Rupa Pachigolla, M.D.
Physician
📞 8175968637
Other providers sharing this address
3 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Jeramie Lamie, HCP Hearing Instrument Specialist NPI 1861299190
- Ravi Pachigolla, M.D. Otolaryngology NPI 1396731402
- Rupa Pachigolla, M.D. Family Medicine NPI 1639165731
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 45D1093868 | CLIA # |
| 01 (TX) | N0337 | TEXAS LICENSE |
| 01 (TX) | 197259801 | MEDICAID GRP # |
| 01 | 1639165731 | MCRE INDV NPI # |
| 01 (TX) | 00Z738 | MEDICARE GROUP PIN |
| 05 (TX) | 1003013350 | |
| 05 (TX) | 197261401 | |
| 01 (KY) | 38179 | LICENSE NUMBER |
| 05 (KY) | 64071715 |
Practice context
Shared NPPES address. 3 individual providers use this primary address. This does not prove employment or affiliation.
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