Search › Texas › 1223S0112X
Raymond Shupak, DMD, MD
NPI 1962798462 · on the registry since 2011
Practice
- Address
- 1500 South Main Street Jps Hospital
Dept Of Omfs
Fort Worth, TX 76104 - Phone
- (817) 702-5595
Additional practice sites
- 3501 Terrace St, Pittsburgh, PA
- 3501 Terrace Street, Pittsburgh, PA
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
204E00000X
204E00000X - Licence states on file
- PA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas