Organization
RICARDO POCURULL, PA
Active
Organization
RICARDO POCURULL, PA
Active
Other names
AOCBV Arthritis & Osteoporosis Clinic of Brazos Valley
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO LUIS POCURULL M.D, P.A. (PRESIDENT)
(979) 696-8000
Entity
Organization
Contact information
Practice address
1721 BIRMINGHAM DR, SUITE 204, COLLEGE STATION, TX 77845-4081
(979) 696-8000
(979) 696-8100
Mailing address
1721 BIRMINGHAM DR, SUITE 204, COLLEGE STATION, TX 77845-4081
(979) 696-8000
(979) 696-8100
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
K-2776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048QN
BCBS GROUP ID
TX
05
—
152067801
—
TX
01
—
165453501
MEDICAID DME
TX
01
—
660003931
MEDICARE RAILROAD
TX
Enumeration date
08/05/2006
Last updated
06/24/2008
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