FULL MOON PHYSICIAN, LLLP
Ambulatory Health at Fry Rd, Houston, TX

License number
Texas K9440
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. GIANG LUONG TRAN MD
Title: PRESIDENT, FULL MOON PHYSICIAN MGT
Phone: (281) 829-3999
Address
Address
2430 Fry Rd STE 100, Houston, TX 77084
National Provider ID: 1831430370
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FULL MOON PHYSICIAN, LLLP

2430 Fry Rd STE 100, Houston, TX 77084

Industry:
Nonclassifiable Establishments
Doing business as:
Full Moon Physician, Lllp
Registration:
Feb 19, 2013
State ID:
0801736809
Business type:
Domestic Limited Partnership (LP)
General Partners:
Full Moon Physician Management, M.d., Pa (General Partner),Full Moon Physician Management, Pa General Partner, inactive
Agent:
Giang Tran,2430 Fry Rd SUITE 100, Houston, TX 77084 (Physical)
TIN:
32050223869

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