FULL MOON PHYSICIAN, LLLP
NPI 1831430370
Clinic/Center - Medical Specialty in Houston, TX

Active since March 08, 2013
2430 FRY RD, STE 100, HOUSTON, TX 77084(281) 829-3999(281) 829-5146 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Full Moon Physician, Lllp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL MOON PHYSICIAN, LLLP (NPI 1831430370) is a healthcare organization registered as a medical specialty in Houston, Texas and active in the NPI registry since March 2013. The organization lists Giang Luong Tran, President, Full Moon Physician Mgt, as its authorized official.

NPPES Registry Identity

NPI1831430370
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameFULL MOON PHYSICIAN, LLLP
Location Address2430 FRY RD, STE 100Houston, TX 77084-5831
Mailing Address2430 Fry Rd, Ste 100Houston, TX 77084-5831 · (281) 829-3999 · Fax (281) 829-5146
Fax(281) 829-5146
Organization SubpartNo
Authorized OfficialGiang Luong TranPresident, Full Moon Physician Mgt · (281) 829-3999
Enumeration DateMarch 8, 2013
NPI 1831430370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in TX · K9440
Definition
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).
2430 FRY RD, Houston, TX 77084

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2430 FRY RD
HOUSTON, TX 77084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Full Moon Physician, Lllp's NPI number?

The NPI number for Full Moon Physician, Lllp is 1831430370. It was assigned to this organization in the NPPES registry on March 8, 2013.

Where is Full Moon Physician, Lllp located?

Full Moon Physician, Lllp is located at 2430 Fry Rd Ste 100, Houston, TX 77084. The listed phone number is (281) 829-3999.

What is Full Moon Physician, Lllp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Full Moon Physician, Lllp was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.