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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1548263106 NPPES
Texas Other 8BA000 BC/BS

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