| Doctor Name: | RONALD B KUPPERSMITH |
| NPI Number: | 1013959287 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | L5799 |
| Business Practice Address: | 1730 Birmingham Dr College Station, TX - 778454063 |
| Business Phone Number: | 9796936000 |
| Business Fax Number: | 9796931900 |
| Mailing Address: | Po Box 10194, COLLEGE STATION |
| State: | TX |
| Postal Code: | 778420194 |
| Phone Number: | 9796936000 |
| Fax Number: | 9796931900 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 09/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0602X |
| License Number: | L5799 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngic Allergy |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |