Active NPI
Raquel M Sagullo, MD, PLLC
- Primary Care Clinic/Center
- Katy, TX
National Provider Identifier
1841741907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- N2278
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raquel Mia Sagullo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2194893 | Cinco West Pediatrics | Certificate of waiver | Oct 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Katy, TX
- NPI 1982706016
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.