Provider Demographics
NPI:1942270079
Name:TERPOLILLI, RALPH NICHOLAS (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:NICHOLAS
Last Name:TERPOLILLI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4502 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4402
Mailing Address - Country:US
Mailing Address - Phone:210-567-4292
Mailing Address - Fax:210-567-0757
Practice Address - Street 1:211 HIGHLAND CROSS DR
Practice Address - Street 2:SUITE 275
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1733
Practice Address - Country:US
Practice Address - Phone:281-784-1500
Practice Address - Fax:281-209-8930
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2015-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH0017207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EA225OtherBCBSTX