Individual
MR. RICARDO LUIS POCURULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 BIRMINGHAM RD, STE 200, COLLEGE STATION, TX 77845
(979) 696-8000
(979) 696-8100
Mailing address
1725 BIRMINGHAM RD, SUITE 200, COLLEGE STATION, TX 77845-4081
(979) 696-8000
(979) 696-8100
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
K2776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131273100
FIRSTCARE
TX
05
—
152068601
—
TX
01
—
61890
AMERIGROUP MEDICAID
TX
01
—
660003931
RAILROAD MEDICARE
TX
01
—
8AJ660
BCBS OF TEXAS
TX
Enumeration date
08/05/2006
Last updated
10/28/2019
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