| Fairmont Weight Loss Clinic Llc | |
|
4416 Fairmont Pkwy Ste 108 Pasadena TX 77504-3327 | |
| (281) 487-0402 | |
| (281) 487-0348 |
| Full Name | Fairmont Weight Loss Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4416 Fairmont Pkwy Ste 108, Pasadena, Texas |
| Authorized Official Name and Position | Juan M Torres (CLINIC MANAGER) |
| Authorized Official Contact | 2814870627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairmont Weight Loss Clinic Llc 4416 Fairmont Pkwy Ste 108 Pasadena TX 77504-3327 Ph: (281) 487-0402 | Fairmont Weight Loss Clinic Llc 4416 Fairmont Pkwy Ste 108 Pasadena TX 77504-3327 Ph: (281) 487-0402 |
| NPI Number | 1912237702 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 12/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912237702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M6-830 (Texas) | Primary |
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