Organization
FONDREN MD CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM VALI OGLY GAZRATI (OWNER)
(713) 541-0100
Entity
Organization
Contact information
Practice address
10101 FONDREN RD, STE 128, HOUSTON, TX 77096-4564
(713) 541-0100
(713) 541-0105
Mailing address
10101 FONDREN RD, STE 128, HOUSTON, TX 77096-4564
(713) 541-0100
(713) 541-0105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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