| NPI | 1982342457 |
|---|---|
| Doing Business As | FAIRHAVEN PEDIATRICS INC. |
| Entity Type | Organization |
| Authorized Contact | AMBER MACHIN Owner 806-543-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-10-24 |