Pucillo Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PUCILLO FAMILY PRACTICE PA

Practice address

16659 Southwest Fwy # 461
Sugar Land, TX 77479-2375

Phone

(281) 340-9355

Fax

(281) 340-9366

NPI assigned

Oct 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tina Glaspie

Title

Credentialing

Phone

(281) 340-9355

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Angel Colon, PA-C

  • Physician Assistant
  • Rosenberg, TX
  • NPI 1376500256
  NPD
• Margot Lebourgeois, MPAS, PA-C

  • Medical Physician Assistant
  • Baton Rouge, LA
  • NPI 1194148437
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1356427090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY # 461",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-340-9355",
            "fax_number": "281-340-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY # 461",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-340-9355",
            "fax_number": "281-340-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUCILLO FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "GLASPIE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "281-340-9355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychiatric Solutions PC
• Psygen, LLC
• Andrew Michael Psyk, M.D.
• PT Wellness Professionals, PLLC
• Ptau PLLC
• Ronald M Pucillo, M.D.
• Diemhien Thi Puckett
• Priyanka Pulkur, LPC
• Dianne Pulsipher, LPC
• Nooruddin S Punjwani, M.D.

• Family Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.