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Organization
GREAT HOUSTON MEDICAL CLINIC
Active
Organization
GREAT HOUSTON MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINDONG FAN (ADMINISTRATOR)
(832) 877-9656
Entity
Organization
Contact information
Practice address
17510 W GRAND PKWY S STE 410, SUGAR LAND, TX 77479-2649
(713) 705-2954
(281) 651-5283
Mailing address
8306 SEAGULL LN, PEARLAND, TX 77584-7134
(832) 877-9656
(281) 651-5283
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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