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Fondren MD Center LLC

Family Medicine in Houston, TX. Organization (NPI-2).

NPI number1114288552
StatusActive
Last updated in NPPESJun 1, 2012

Details

NPI
1114288552
Entity type
Organization (NPI-2)
Legal business name
Fondren MD Center LLC
Organization subpart
No
Enumeration date
Jun 1, 2012
Last updated
Jun 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

10101 Fondren Rd
Ste 128
Houston, TX 77096-4564

Phone 713-541-0100 · Fax 713-541-0105

Mailing address

10101 Fondren Rd
Ste 128
Houston, TX 77096-4564

Phone 713-541-0100 · Fax 713-541-0105

Authorized official

Adam Vali Ogly Gazrati
Owner
7135410100

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