Provider Demographics
NPI:1184150195
Name:RUMPF, JENNIFER ALYSE (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ALYSE
Last Name:RUMPF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1490 RUSK RD STE 202
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-3306
Mailing Address - Country:US
Mailing Address - Phone:512-255-7762
Mailing Address - Fax:512-255-7761
Practice Address - Street 1:1490 RUSK RD STE 202
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3306
Practice Address - Country:US
Practice Address - Phone:512-255-7762
Practice Address - Fax:512-255-7761
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT1890207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program