Fondren MD Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FONDREN MD CENTER LLC

Practice address

10101 Fondren Rd
Ste 128
Houston, TX 77096-4564

Phone

(713) 541-0100

Fax

(713) 541-0105

NPI assigned

Jun 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Adam Vali Ogly Gazrati

Title

Owner

Phone

(713) 541-0100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Humara S Gull, MD

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1164537320
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1114288552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 FONDREN RD",
            "address_2": "STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964564",
            "telephone_number": "713-541-0100",
            "fax_number": "713-541-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FONDREN RD",
            "address_2": "STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964564",
            "telephone_number": "713-541-0100",
            "fax_number": "713-541-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONDREN MD CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "GAZRATI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "VALI OGLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-541-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fondren Advanced Care PLLC
• Fondren Dental PA
• Fondren Dialysis Clinic, Inc.
• Fondren Elite Orthopedics PLLC
• Fondren Health Group Inc
• Fondren Orthopedic Care PLLC
• Fondren Orthopedic Group L.L.P.
• Fondren Orthopedic Group L.L.P.
• Fondren Orthopedic Group L.L.P.
• Fondren Orthopedic Group LLP

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.