Pucillo Family Practice PA

NPI #1356427090 in Sugar Land, Texas

Provider Information

NPI Number: 1356427090
Entity Type: Organization
Organization Name: Pucillo Family Practice PA
Primary Specialty: Family Medicine
Enumeration Date: Oct 27, 2006
Last Updated: Dec 28, 2007

Practice Location

Address: 16659 SOUTHWEST FWY # 461
City: Sugar Land
State: Texas
ZIP Code: 77479-2375
Phone: (281) 340-9355

Authorized Official

Name: MRS. TINA GLASPIE
Title: CREDENTIALING
Phone: (281) 340-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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