| Tricia Punsalan Md Pa | |
|
500 Medical Center Blvd Suite 100 Conroe TX 77304-2889 | |
| (936) 788-8084 | |
| (936) 788-8054 |
| Full Name | Tricia Punsalan Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Medical Center Blvd, Conroe, Texas |
| Authorized Official Name and Position | Tricia L Punsalan (OWNER) |
| Authorized Official Contact | 9367888084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricia Punsalan Md Pa 500 Medical Center Blvd Suite 100 Conroe TX 77304-2889 Ph: (936) 788-8084 | Tricia Punsalan Md Pa 500 Medical Center Blvd Suite 100 Conroe TX 77304-2889 Ph: (936) 788-8084 |
| NPI Number | 1093188443 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 07/05/2016 |
| Medicare PECOS PAC ID | 4385945385 |
|---|---|
| Medicare Enrollment ID | O20151216001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093188443 | NPI | - | NPPES |
| 461733 | Other | TX | MEDICARE |
| 355446101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N2740 (Texas) | Primary |
| Provider Name | Tricia L Punsalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003020504 PECOS PAC ID: 6800075201 Enrollment ID: I20110131000597 |
Devotion Palliative Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 N Loop 336 E, 2nd Floor, Conroe, TX 77301 Phone: 281-742-1142 Fax: 346-998-1442 | |
1488 Family Medicine Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Fm 1488, Suite 400, Conroe, TX 77384 Phone: 936-270-8008 Fax: 936-270-8009 | |
Hcc Of Conroe Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2006 S Loop 336 W Ste 500, Conroe, TX 77304 Phone: 936-647-3500 | |
Lakeside Gastroenterology And Liver Specialists, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 690 S Loop 336 W Ste 215, Conroe, TX 77304 Phone: 936-828-3962 | |
Columbus Urgent Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 W Dallas St, Conroe, TX 77301 Phone: 936-494-0865 Fax: 936-494-0057 | |
Eulitt Investments Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 W Davis St Ste A2, Conroe, TX 77304 Phone: 936-494-1222 | |
Greater Houston Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Blvd Ste 104, Conroe, TX 77304 Phone: 936-756-2888 |