Organization
FAIRMONT WEIGHT LOSS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN M TORRES (CLINIC MANAGER)
(281) 487-0627
Entity
Organization
Contact information
Practice address
4416 FAIRMONT PKWY STE 108, PASADENA, TX 77504-3327
(281) 487-0402
(281) 487-0348
Mailing address
4416 FAIRMONT PKWY STE 108, PASADENA, TX 77504-3327
(281) 487-0402
(281) 487-0348
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
M6-830
TX
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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