IndividualActive
Edward Ruppenthal, PA
NPI 1407895337 · Medical Physician Assistant · Conroe, TX
Provider details
- NPI number
- 1407895337
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA01769 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
508 Medical Center Blvd
Conroe, TX 77304-2808
Phone: (936) 760-7839
Fax: (936) 756-1471
Street-level locationGet directions
Mailing address
508 Medical Center Blvd
Conroe, TX 77304-2808
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.