Joseph E Sudolcan (NPI# 1811954332, PAC ID# 6204854201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1811954332 |
PAC ID by PECOS | 6204854201 |
Professional Enrollment ID | I20051108000933 |
Full Name | Joseph E Sudolcan |
Organization Legal Name | REAGAN HOSPITAL DISTRICT |
Address |
1300 N Main Ave Big Lake TX 76932-3938 |
Phone Number | 3258842561 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3678606399 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
451301 | REAGAN MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1300 N Main Ave, Big Lake, TX 76932-3938 | 3258842561 | REAGAN HOSPITAL DISTRICT |
Organization Legal Name | REAGAN HOSPITAL DISTRICT |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Renee T Gounden | Family Medicine | Reagan Hospital District | 1300 N Main Ave, Big Lake, TX 76932-3938 |
Street Address |
1300 N MAIN AVE |
City | BIG LAKE |
State | TX |
Zip | 76932-3938 |
Name | Specialty | Organization | Address |
---|---|---|---|
Renee T Gounden | Family Medicine | Reagan Hospital District | 1300 N Main Ave, Big Lake, TX 76932-3938 |
City | BIG LAKE |
Zip Code | 76932 |
Specialty | FAMILY MEDICINE |
City + Specialty | BIG LAKE + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.