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1033778170
FAIRMONT CHILDRENS PLLC
PASADENA, TX
NPI
1033778170
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Entity Type
Organization
Authorized Contact
JILLY VIDYASAGDRAN
Authorized Signer
832-241-3540
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
FAIRMONT CHILDRENS PLLC
4002 BURKE RD STE 200
PASADENA, TX 77504-3451
Phone number: 832-241-3540
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Mailing Address
FAIRMONT CHILDRENS PLLC
4002 BURKE RD STE 100
PASADENA, TX 77504-3451
Phone number: 832-241-3540
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