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: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About FULL MOON PHYSICIAN, LLLP

This page provides the complete NPI Profile along with additional information for Full Moon Physician, Lllp, a provider established in Houston, Texas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1831430370 assigned on March 2013. The practitioner's primary taxonomy code is 261QM2500X with license number K9440 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Giang Luong Tran Md (President, Full Moon Physician Mgt)

NPI
1831430370 Verify this NPI
Provider Name
FULL MOON PHYSICIAN, LLLP
Entity Type
Organization
Location Address
2430 FRY RD STE 100 HOUSTON, TX 77084
Location Phone
(281) 829-3999
Location Fax
(281) 829-5146
Mailing Address
2430 FRY RD STE 100 HOUSTON, TX 77084
Mailing Phone
(281) 829-3999
Mailing Fax
(281) 829-5146
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2013
Last Update Date
03-08-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
K9440
License State
TX
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GIANG LUONG TRAN MD

Authorized Official Title
PRESIDENT, FULL MOON PHYSICIAN MGT
Authorized Official Phone
(281) 829-3999

Reviews for FULL MOON PHYSICIAN, LLLP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
2430 FRY RD
HOUSTON, TX 77084
Optometrist
2430 FRY RD
HOUSTON, TX 77084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831430370, enumerated as an "organization" on March 08, 2013.

The provider is located at 2430 FRY RD STE 100 HOUSTON, TX 77084 and the phone number is (281) 829-3999.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.