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PUCILLO FAMILY PRACTICE PA
NPI 1356427090
Family Medicine in Sugar Land, TX

Active since October 27, 2006CLIA 45D0495614 · Waiver
16659 SOUTHWEST FWY # 461, SUGAR LAND, TX 77479(281) 340-9355(281) 340-9366 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pucillo Family Practice Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUCILLO FAMILY PRACTICE PA (NPI 1356427090) is a healthcare organization registered as a family medicine in Sugar Land, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Tina Glaspie, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1356427090
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePUCILLO FAMILY PRACTICE PA
Location Address16659 SOUTHWEST FWY # 461Sugar Land, TX 77479-2375
Mailing Address16659 Southwest Fwy # 461Sugar Land, TX 77479-2375 · (281) 340-9355 · Fax (281) 340-9366
Phone(281) 340-9355
Fax(281) 340-9366
Organization SubpartNo
Authorized OfficialTina GlaspieCredentialing · (281) 340-9355
Enumeration DateOctober 27, 2006
Last NPPES UpdateDecember 28, 2007
✔ NPI 1356427090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

16659 SOUTHWEST FWY # 461, Sugar Land, TX 77479
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Other Identifiers 2

Medicare PIN00X530TX
Medicare PINDF7789TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0495614

Pucillo Family Practice · Sugar Land, TX
Active · expires Dec 10, 2026
CLIA Number45D0495614
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorRonald M. Pucillo
Laboratory Phone(281) 340-9355
Laboratory LocationPucillo Family Practice1111 Hwy 6 North Suite 40, Sugar Land, TX 77478
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD M PUCILLO M.D.
Family Medicine
16659 SOUTHWEST FWY # 461
SUGAR LAND, TX 77479
Fort Bend County (281) 340-9355
DR. SUMAIYA E ZOBAIRI M.D.
Family Medicine
16659 SOUTHWEST FWY # 461
SUGAR LAND, TX 77479
Fort Bend County (281) 340-9355
MRS. TRACEY MILLER PA
Physician Assistant (Medical)
16659 SOUTHWEST FWY # 461
SUGAR LAND, TX 77479
Fort Bend County (281) 340-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pucillo Family Practice PA's NPI number?

The NPI number for Pucillo Family Practice PA is 1356427090. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Pucillo Family Practice PA located?

Pucillo Family Practice PA is located at 16659 Southwest Fwy # 461, Sugar Land, TX 77479. The listed phone number is (281) 340-9355.

What is Pucillo Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pucillo Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0495614) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pucillo Family Practice PA was last updated on December 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.