Organization
FAIRMONT DIAGNOSTIC AND MRI CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RAY MCCOMBS (OWNER)
(281) 487-6736
Entity
Organization
Contact information
Practice address
3692 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3137
(832) 455-4852
(281) 487-1766
Mailing address
3692 E SAM HOUSTON PKWY S, PASADENA, TX 77505-3137
(281) 487-6736
(281) 487-1766
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R24938
TX
Other
Enumeration date
06/20/2011
Last updated
07/13/2011
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