| Fulton Medical Group, Llc | |
|
4000 Fulton St Houston TX 77009-4766 | |
| (832) 528-7868 | |
| Not Available |
| Full Name | Fulton Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4000 Fulton St, Houston, Texas |
| Authorized Official Name and Position | Theresa Estrada (OWNER) |
| Authorized Official Contact | 8325287868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Medical Group, Llc 4000 Fulton St Houston TX 77009-4766 Ph: (832) 528-7868 | Fulton Medical Group, Llc 4000 Fulton St Houston TX 77009-4766 Ph: (832) 528-7868 |
| NPI Number | 1669751152 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669751152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G0641 (Texas) | Primary |
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