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Organization
THE FAME FOUNDATION
Active
Organization
THE FAME FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDAR ALVIN DHAMOTHARAN MD (CMO)
(346) 205-4388
Entity
Organization
Contact information
Practice address
1946 PASADENA BLVD, PASADENA, TX 77502-2742
(832) 203-5992
(866) 611-7531
Mailing address
16610 MYSTIC HARBOR LN, HOUSTON, TX 77095-4597
(346) 205-4388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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