# FAIRFIELD PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740717883
- **Authorized official:** TANYA AMADOR (OFFICE MANAGER)
- **Authorized official phone:** (713) 694-8800

## Contact information

- **Practice address:** 28070 HIGHWAY 290 STE 150, CYPRESS, TX 77433-6921
- **Practice address phone:** (281) 373-4000
- **Mailing address:** 28070 HIGHWAY 290 STE 150, CYPRESS, TX 77433-6921
- **Mailing address phone:** (281) 373-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 19674 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2017
- **Last updated:** 07/21/2022
