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Organization
FAIRMONT DIAGNOSTIC CENTER AND OPEN MRI
Active
Organization
FAIRMONT DIAGNOSTIC CENTER AND OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LEE BAKER M.D. (OWNER)
(281) 487-6736
Entity
Organization
Contact information
Practice address
3692 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3137
(281) 487-6736
(281) 487-3187
Mailing address
3692 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3137
(281) 487-6736
(281) 487-3187
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
MDJ2489
TX
Other
Enumeration date
10/10/2006
Last updated
09/24/2008
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