Sudolcan, Joseph E

Sudolcan, Joseph E is an individual health care provider with primary practice located at 800 N Main Ave Ste 3 , Big Lake TX 76932-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sudolcan, Joseph E can be contacted via phone (325) 884-3743.

Contact Information

Primary practice address
800 N Main Ave Ste 3 Big Lake TX 76932-3900
Phone: (325) 884-3743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H0859 Texas

Profile Details

NPI number 1811954332
LBN Legal business name Sudolcan, Joseph E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 3rd, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811954332 NPPES
Texas Other 83X714 BLUE CROSS/BLUE SHIELD TX
Texas MEDICAID 138407509 BLUE CROSS/BLUE SHIELD TX

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