# FAIRMONT DIAGNOSTIC CENTER AND OPEN MRI

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

## Provider details

- **NPI number:** 1811085772
- **Authorized official:** DR. JACK LEE BAKER M.D. (OWNER)
- **Authorized official phone:** (281) 487-6736

## Contact information

- **Practice address:** 3692 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3137
- **Practice address phone:** (281) 487-6736
- **Practice address fax:** (281) 487-3187
- **Mailing address:** 3692 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3137
- **Mailing address phone:** (281) 487-6736
- **Mailing address fax:** (281) 487-3187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | MDJ2489 | TX | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 09/24/2008