| Houston Fannin Medical Center | |
|
2317 Fannin St Houston TX 77002-9111 | |
| (713) 655-1600 | |
| Not Available |
| Full Name | Houston Fannin Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2317 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Floyd E Luckett (PROVIDER) |
| Authorized Official Contact | 7136551600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Fannin Medical Center 2317 Fannin St Houston TX 77002-9111 Ph: (713) 655-1600 | Houston Fannin Medical Center 2317 Fannin St Houston TX 77002-9111 Ph: (713) 655-1600 |
| NPI Number | 1043547029 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043547029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G5317 (Texas) | Primary |
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