Great Houston Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GREAT HOUSTON MEDICAL CLINIC

Practice address

17510 W Grand Pkwy S Ste 410
Sugar Land, TX 77479-2649

Phone

(713) 705-2954

Fax

(281) 651-5283

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Jindong Fan

Title

Administrator

Phone

(832) 877-9656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1265802193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 SEAGULL LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847134",
            "telephone_number": "832-877-9656",
            "fax_number": "281-651-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S STE 410",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792649",
            "telephone_number": "713-705-2954",
            "fax_number": "281-651-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HOUSTON MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "JINDONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-877-9656"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Parkway Sleep Center, Inc
• Wendy J Granillo Alvayero
• Andreadenise Jacqueline Gray, RBT
• Charles F Gray, PH.D.
• Kaitlan Gray, RBT
• Greater Houston Anesthesia
• Greater Houston Counseling Center PLLC
• Greater Houston Neurohospitalist Associates Inc.
• Greater Houston Orthopaedic Specialists, LLP
• Greatway Inc.

• General Practice Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.