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NPI Code Detail

MEDICARE: RAYMOND CARL SAUCILLO

MEDICARE: RAYMOND CARL SAUCILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker110828TX

General Provider Information

NPI Number : 1639039050
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND CARL SAUCILLO
Provider Business Mailing Address
First Line : 5731 BURLINGHALL DR
Second Line :
City : HOUSTON
State : TX
Zip : 77035-2413
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3355 W ALABAMA ST STE 195
Second Line :
City : HOUSTON
State : TX
Zip : 77098-1871
Country : US
Telephone Number : 844-824-8775
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2025
Last Update Date : 12/01/2025

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Directions to “ RAYMOND CARL SAUCILLO ” Practice Location

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