| Professional Association | |
|
3603 Fairmont Pkwy Fairmont Family Dentistry Pasadena TX 77504 | |
| (281) 487-6453 | |
| (281) 998-3380 |
| Full Name | Professional Association |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3603 Fairmont Pkwy, Pasadena, Texas |
| Authorized Official Name and Position | Robert Chisem Stewart (OWNER DENTIST) |
| Authorized Official Contact | 2814876453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Association 3606 Fairmont Pkwy Pasadena TX 77504-3008 Ph: (281) 487-6453 | Professional Association 3603 Fairmont Pkwy Fairmont Family Dentistry Pasadena TX 77504 Ph: (281) 487-6453 |
| NPI Number | 1770635757 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 09/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770635757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15670 (Texas) | Primary |
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