| Grand Park Medical Clinic | |
|
830 Mason Rd #a4 Katy TX 77450-3896 | |
| (281) 392-2222 | |
| Not Available |
| Full Name | Grand Park Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 830 Mason Rd, Katy, Texas |
| Authorized Official Name and Position | Roy H Gillick (M.D./OWNER) |
| Authorized Official Contact | 2813922222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Park Medical Clinic 830 Mason Rd #a4 Katy TX 77450-3896 Ph: (281) 392-2222 | Grand Park Medical Clinic 830 Mason Rd #a4 Katy TX 77450-3896 Ph: (281) 392-2222 |
| NPI Number | 1265630297 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265630297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E7950 (Texas) | Primary |
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