FULL MOON PHYSICIAN, LLLP


Address: 2430 Fry Rd, Ste 100, Houston, TX 77084-5831
Phone: 2818293999

FULL MOON PHYSICIAN, LLLP (NPI# 1831430370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831430370
Entity Type Organization
Organization Name FULL MOON PHYSICIAN, LLLP
Practice Address 2430 Fry Rd
Ste 100
Houston
TX 77084-5831
Practice Telephone 2818293999
Practice Fax Number 2818295146
Mailing Telephone 2818293999
Mailing Fax Number 2818295146
Enumeration Date 2013-03-08
Last Update Date 2013-03-08
Authorized Official Name DR. GIANG LUONG TRAN (PRESIDENT, FULL MOON PHYSICIAN MGT)
Authorized Official Telephone 2818293999
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
K9440 TX Ambulatory Health Care Facilities

Office Location

Street Address 2430 FRY RD
STE 100
City HOUSTON
State TX
Zip Code 77084-5831

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1831653526 Naveli Medical Services, Pllc Clinic/Center 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 2019-01-26
1609378801 Express Anesthesia & Pain Management Consultants,pllc Clinic/Center 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 2018-03-02
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1770904096 Terence M Chang Md Pllc Clinic/Center 5233 Lillian St, 1st Floor, Houston, TX 77007-5226 2014-01-06
1699100230 Syntherapy Clinic Plcc Clinic/Center 8300 Bissonnet St Ste 490, Houston, TX 77074-3997 2013-09-12
1790044717 Sunrise Medical Consulting, LLC Clinic/Center 13111 East Fwy Ste 317, Houston, TX 77015-5819 2012-05-10
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Competitor

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City HOUSTON
Zip Code 77084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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