Fairmont Diagnostic Center And Open Mri

NPI 1811085772 - Clinic/Center - 261QR0200X

NPI Details
NPI 1811085772
Enumeration Date 10/10/2006
Last Updated 09/24/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK LEE JACK
Position OWNER
Phone (281) 487-6736
Fax (281) 487-3187
Practice Location
3692 E SAM HOUSTON PKWY S
PASADENA TX, 77505-3137, US
Phone (281) 487-6736
Fax (281) 487-3187
Business Location
3692 E SAM HOUSTON PKWY S
PASADENA TX, 77505-3137, US
Phone (281) 487-6736
Fax (281) 487-3187
Toxanomy
Taxonomy Code 261QR0200X
License State Texas
License Number MDJ2489
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According to our database, Fairmont Diagnostic Center And Open Mri NPI is 1811085772, taxonomy code is 261QR0200X and license number is MDJ2489, license state is located at Texas. Fairmont Diagnostic Center And Open Mri physically located at 3692 E Sam Houston Pkwy S, Pasadena TX, 77505-3137. NPI Number 1033115704 has the healthcare provider type.

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1811085772 NPI number is provided on an as is basis without warranty of any kind. 1811085772 is maintained by the National Plan & Provider Enumeration System. The contents of Fairmont Diagnostic Center And Open Mri are for informational purposes only.