Individual
DR. PATRICK C MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2717
(713) 441-9000
(713) 790-2141
Mailing address
6550 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2717
(713) 441-9000
(713) 790-2141
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M4338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0918730002
DME MEDICARE PROVIDER NUMBER
TX
01
—
1366421679
BLUE CROSS BLUE SHIELD
TX
05
—
181848601
—
TX
05
—
181848602
—
TX
05
—
181848603
—
TX
05
—
181848605
—
TX
01
—
601771109
US DEPT OF LABOR
—
01
—
610197301 CENTERFIEL
US DEPT OF LABOR
TX
01
—
610197302 FANNIN
US DEPT OF LABOR
TX
01
—
616771101
US DEPT OF LABOR
—
01
—
616771105
US DEPT OF LABOR
—
01
—
616771110
US DEPT OF LABOR
—
01
—
P00842117
MEDICARE RAILROAD
TX
01
—
P01102952
RR MEDICARE
TX
Enumeration date
01/13/2006
Last updated
04/15/2014
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