Organization · Type 2 NPI
Full Moon Physician, LLLP
Medical Specialty Clinic/Center · Houston, TX
Practice location
2430 Fry Rd, Ste 100
Houston, TX 77084-5831
Fax (281) 829-5146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | K9440 (TX) |
Medical Specialty Clinic/Center: 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).
Another provider at this address
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About NPI 1831430370
Full Moon Physician, LLLP's National Provider Identifier is 1831430370, issued on Mar 8, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Houston, TX. The record was last updated on Mar 8, 2013.