Provider Demographics
NPI:1679864607
Name:GREATER EXPERT MEDICAL PHYSICIANS
Entity Type:Organization
Organization Name:GREATER EXPERT MEDICAL PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CUONG
Authorized Official - Middle Name:Q
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-531-2371
Mailing Address - Street 1:2000 BAGBY ST
Mailing Address - Street 2:#13430
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8587
Mailing Address - Country:US
Mailing Address - Phone:903-531-2371
Mailing Address - Fax:903-531-2337
Practice Address - Street 1:2000 BAGBY ST
Practice Address - Street 2:#13430
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8587
Practice Address - Country:US
Practice Address - Phone:903-531-2371
Practice Address - Fax:903-531-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty