Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Moon Physician, LLLP

Organization Medical Specialty Clinic/Center · NPI 1831430370

Full Moon Physician, LLLP is a Medical Specialty Clinic/Center in Houston, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013

Practice location Address checks out

2430 Fry Rd Ste 100
Houston, TX 77084-5831
Phone: (281) 829-3999
Fax: (281) 829-5146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence K9440 (TX)

Record details

NPI number1831430370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Giang Tran — President, Full Moon Physician Mgt · (281) 829-3999
NPI enumeratedMarch 8, 2013
Last updated in NPPESMarch 8, 2013
Mailing address2430 Fry Rd, Ste 100, Houston, TX 77084-5831

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