NPI 1265802193

Great Houston Medical Clinic

Organisation General Practice Physician Sugar Land, TX

Practice location

Address: 17510 W Grand Pkwy S STE 410, Sugar Land, TX 77479-2649
Phone: (713) 705-2954
Fax: (281) 651-5283
Mailing address: 8306 Seagull Ln, Pearland, TX 77584-7134

Authorised official

Name: Jindong Fan
Title: Administrator
Phone: (832) 877-9656

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1265802193
Entity type: Organization
NPI issued: 5 Oct 2015
Record last updated: 5 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.