Individual
JESSICA CUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
16605 SOUTHWEST FWY, SUITE 285, SUGAR LAND, TX 77479-3501
(281) 313-0031
(281) 313-0032
Mailing address
16605 SOUTHWEST FWY, SUITE 285, SUGAR LAND, TX 77479-3501
(281) 313-0031
(281) 313-0032
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA09934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8393NM
BCBSTX
TX
Enumeration date
09/15/2014
Last updated
04/28/2022
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