Wupperman, Patrick Lee

Wupperman, Patrick Lee is an individual health care provider with primary practice located at 8101 S Broadway Ave Suite 200, Tyler TX 75703-5469. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wupperman, Patrick Lee can be contacted via phone (903) 939-7500.

Contact Information

Primary practice address
8101 S Broadway Ave Suite 200 Tyler TX 75703-5469
Phone: (903) 939-7500
Fax: (903) 939-7728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M4666 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M4666 Texas

Profile Details

NPI number 1538276001
LBN Legal business name Wupperman, Patrick Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Oct 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538276001 NPPES
Texas MEDICAID 183593601

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