Pucillo, Ronald M
Pucillo, Ronald M is an individual health care provider with primary practice located at 16659 Southwest Fwy # 461 , Sugar Land TX 77479-2375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pucillo, Ronald M can be contacted via phone (281) 340-9355.Contact Information
Primary practice address
16659 Southwest Fwy # 461
Sugar Land TX 77479-2375
Phone: (281) 340-9355
Fax: (281) 340-9366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G2207 | Texas |
Profile Details
| NPI number | 1548263106 |
|---|---|
| LBN Legal business name | Pucillo, Ronald M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Sep 2nd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548263106 | NPPES |
| Texas | Other | 8BA000 | BC/BS |
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