| Grand Cinco Medical Clinic, P.a. | |
|
2830 Commercial Center Blvd Ste 102 Katy TX 77494-6405 | |
| (281) 693-1700 | |
| (281) 693-1712 |
| Full Name | Grand Cinco Medical Clinic, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2830 Commercial Center Blvd, Katy, Texas |
| Authorized Official Name and Position | Hung Viet Le (DIRECTOR) |
| Authorized Official Contact | 2816931700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Cinco Medical Clinic, P.a. 2830 Commercial Center Blvd Ste 102 Katy TX 77494-6405 Ph: (281) 693-1700 | Grand Cinco Medical Clinic, P.a. 2830 Commercial Center Blvd Ste 102 Katy TX 77494-6405 Ph: (281) 693-1700 |
| NPI Number | 1699871202 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699871202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J4293 (Texas) | Primary |
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