| Cinco West Pediatrics | |
|
9006 S. Fry Road Suite D Katy TX 77494 | |
| (281) 221-7611 | |
| Not Available |
| Full Name | Cinco West Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9006 S. Fry Road, Katy, Texas |
| Authorized Official Name and Position | Raquel Mia Sagullo (OWNER) |
| Authorized Official Contact | 2812217611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cinco West Pediatrics 9006 S. Fry Road Suite D Katy TX 77494 Ph: () - | Cinco West Pediatrics 9006 S. Fry Road Suite D Katy TX 77494 Ph: (281) 221-7611 |
| NPI Number | 1841741907 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841741907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N2278 (Texas) | Primary |
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