Provider Demographics
NPI:1801895107
Name:KUFFEL, RONALD RICHARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:RICHARD
Last Name:KUFFEL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5656 S STAPLES ST
Mailing Address - Street 2:SUITE 280
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4693
Mailing Address - Country:US
Mailing Address - Phone:361-991-0500
Mailing Address - Fax:361-991-6199
Practice Address - Street 1:5656 S STAPLES ST
Practice Address - Street 2:SUITE 280
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4693
Practice Address - Country:US
Practice Address - Phone:361-991-0500
Practice Address - Fax:361-991-6199
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2019-07-31
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Provider Licenses
StateLicense IDTaxonomies
TXK1514207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040690201Medicaid
TX040690201Medicaid
TXG03315Medicare UPIN