institution
Full Moon Physician, Lllp
Medical Specialty Clinic/Center in Houston, Texas
NPI 1831430370

Full Moon Physician, Lllp is a Medical Specialty Clinic/Center based in Houston, TX and is specialized in Medical Specialty. Full Moon Physician, Lllp practices in Houston, TX. The NPI Number for Full Moon Physician, Lllp is 1831430370 and holds a License No. K9440 (Texas).

The current practice location address for Full Moon Physician, Lllp is 2430 Fry Rd, Houston, TX and can be reached out via phone at 281-829-3999 and via fax at 281-829-5146.

Location: 2430 Fry Rd, Houston, TX, 77084-5831
institution
Provider Profile Details
NPI Number
1831430370
Provider Name
Full Moon Physician, Lllp
Credential
Provider Entity Type
Organization
Address
2430 Fry Rd, Houston, TX, 77084-5831
Phone Number
281-829-3999
Fax Number
281-829-5146
Provider Enumeration Date
03/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2430 Fry Rd
City
State
Zip
77084-5831
Phone Number
281-829-3999
Fax Number
281-829-5146
person
Provider Business Mailing Address Details
Address
2430 Fry Rd
City
State
Zip
77084-5831
Phone Number
281-829-3999
Fax Number
281-829-5146
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
K9440 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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