Rupa Pachigolla MD Psc

Family Medicine in Weatherford, TX. Organization (NPI-2).

NPI number1003013350

StatusActive

Last updated in NPPESApr 28, 2022

Details

NPI: 1003013350
Entity type: Organization (NPI-2)
Legal business name: Rupa Pachigolla MD Psc
Organization subpart: No
Enumeration date: Jun 29, 2007
Certification date: Apr 28, 2022
Last updated: Apr 28, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	N0337	TX	Yes

Practice location

2016 Fort Worth Hwy
Weatherford, TX 76086-4706

Phone 817-596-8637 · Fax 817-599-3614

Mailing address

2016 Fort Worth Hwy
Weatherford, TX 76086-4706

Phone 817-596-8637 · Fax 817-599-3614

Authorized official

Rupa Pachigolla
Physician
8175968637

Is something wrong?

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Other Family Medicine Physician providers in Weatherford, TX

All 40 Family Medicine Physician providers in Weatherford · All 1,204 providers in Weatherford

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