MEDICARE: FONDREN HEALTH GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1740593532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FONDREN HEALTH GROUP INC

Provider Business Mailing Address
First Line	:	8989 WESTHEIMER RD
Second Line	:	#102
City	:	HOUSTON
State	:	TX
Zip	:	77063-3621
Country	:	US
Telephone Number	:	713-266-5200
Fax Number	:	713-266-5214

Provider Business Practice Location Address
First Line	:	8989 WESTHEIMER RD
Second Line	:	#102
City	:	HOUSTON
State	:	TX
Zip	:	77063-3621
Country	:	US
Telephone Number	:	713-266-5200
Fax Number	:	713-266-5214

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT TSATURYAN
Credential	:
Telephone Number	:	713-266-5200

Provider Enumeration Date	:	07/21/2010
Last Update Date	:	07/21/2010

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Directions to “FONDREN HEALTH GROUP INC ” Practice Location

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