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Organization
PUCILLO FAMILY PRACTICE PA
Active
Organization
PUCILLO FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA GLASPIE (CREDENTIALING)
(281) 340-9355
Entity
Organization
Contact information
Practice address
16659 SOUTHWEST FWY # 461, SUGAR LAND, TX 77479-2375
(281) 340-9355
(281) 340-9366
Mailing address
16659 SOUTHWEST FWY # 461, SUGAR LAND, TX 77479-2375
(281) 340-9355
(281) 340-9366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
12/28/2007
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