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Organization
FULL MOON PHYSICIAN, LLLP
Active
Organization
FULL MOON PHYSICIAN, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANG LUONG TRAN MD (PRESIDENT, FULL MOON PHYSICIAN MGT)
(281) 829-3999
Entity
Organization
Contact information
Practice address
2430 FRY RD, STE 100, HOUSTON, TX 77084-5831
(281) 829-3999
(281) 829-5146
Mailing address
2430 FRY RD, STE 100, HOUSTON, TX 77084-5831
(281) 829-3999
(281) 829-5146
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
K9440
TX
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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