Organization Active NPI

Raquel M Sagullo, MD, PLLC

  • Primary Care Clinic/Center
  • Katy, TX
National Provider Identifier
1841741907
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
N2278 Issued in TX
Legal business name
RAQUEL M SAGULLO, MD, PLLC
Practice address
9006 S. Fry Road
Suite D
Katy, TX 77494
Phone
(281) 221-7611
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Raquel Mia Sagullo, MDNPI 1982706016
Title
Owner
Phone
(281) 221-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X N2278 TX Primary

Addresses

Primary practice location

9006 S. Fry Road
Suite D
Katy, TX 77494

Mailing address

9006 S. Fry Road
Suite D
Katy, TX 77494

Other names 1

  • Cinco West Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2194893Cinco West Pediatrics9006 S Fry Road, Suite D, Katy, TX 77494Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

9006 S Fry Rd
Ste D
Katy, TX 77494
Phone (281) 221-7611

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1841741907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 S. FRY ROAD",
            "address_2": "SUITE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 S. FRY ROAD",
            "address_2": "SUITE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-221-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAQUEL M SAGULLO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "SAGULLO",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-221-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N2278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cinco West Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.