Organization
FAIRMONT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHU SYAL MD (OWNER & PHYSICIAN)
(346) 222-7370
Entity
Organization
Contact information
Practice address
400 W FAIRMONT PKWY STE B, LA PORTE, TX 77571-6308
(346) 222-7370
(281) 487-7054
Mailing address
400 W FAIRMONT PKWY STE B, LA PORTE, TX 77571-6308
(346) 222-7370
(281) 487-7054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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