Great Houston Medical Clinic
NPI #1265802193 in Sugar Land, Texas
Provider Information
- NPI Number
- 1265802193
- Entity Type
- Organization
- Organization Name
- Great Houston Medical Clinic
- Primary Specialty
- General Practice
- Enumeration Date
- Oct 5, 2015
- Last Updated
- Oct 5, 2015
Practice Location
- Address
- 17510 W GRAND PKWY S STE 410
- City
- Sugar Land
- State
- Texas
- ZIP Code
- 77479-2649
- Phone
- (713) 705-2954
Authorized Official
- Name
- JINDONG FAN
- Title
- ADMINISTRATOR
- Phone
- (832) 877-9656
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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