Organization Active NPI

Lary R. Kupor MD PA

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1790933240
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E3036 Issued in TX
Legal business name
LARY R. KUPOR MD PA
Practice address
1315 St Joseph Pkwy Ste 1106
Houston, TX 77002-8235
Phone
(713) 951-0421
Fax
(713) 652-2717
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lary R. Kupor, M.D.
Title
Physician
Phone
(979) 282-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X E3036 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 1106
Houston, TX 77002-8235

Mailing address

1315 St Joseph Pkwy Ste 1106
Houston, TX 77002-8235
Phone (713) 951-0421

National Provider Directory

National Provider Directory

Locations

1401 St Joseph Pkwy
Bldg 4TH
Houston, TX 77002
Phone (713) 951-0421

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1790933240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028235",
            "telephone_number": "713-951-0421",
            "fax_number": "713-652-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028235",
            "telephone_number": "713-951-0421",
            "fax_number": "713-652-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARY R. KUPOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KUPOR",
        "authorized_official_first_name": "LARY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-282-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "E3036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.