| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| 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 |
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