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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