FAIRMONT WEIGHT LOSS CLINIC LLC (NPI# 1912237702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912237702 |
| Entity Type | Organization |
| Organization Name | FAIRMONT WEIGHT LOSS CLINIC LLC |
| Practice Address |
4416 Fairmont Pkwy Ste 108 Pasadena TX 77504-3327 |
| Practice Telephone | 2814870402 |
| Practice Fax Number | 2814870348 |
| Mailing Telephone | 2814870402 |
| Mailing Fax Number | 2814870348 |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |
| Authorized Official Name | MR. JUAN M TORRES (CLINIC MANAGER) |
| Authorized Official Telephone | 2814870627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | M6-830 | TX | Ambulatory Health Care Facilities |
| Street Address |
4416 FAIRMONT PKWY STE 108 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306341250 | Debreka Shenette Malone | Nurse Practitioner | 4416 Fairmont Pkwy Ste 108, Pasadena, TX 77504-3327 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528691417 | Mindful Healing Heart Reiki & Acupuncture Corp. | Clinic/Center | 2801 E Foothill Blvd, Pasadena, CA 91107-3463 | 2020-02-19 |
| 1639619414 | Lysander Jim, M.d. Inc | Clinic/Center | 452 N Altadena Dr, Pasadena, CA 91107-2536 | 2017-02-27 |
| 1083076442 | Kevin Farnam, M.d., Inc. | Clinic/Center | 65 N Madison Ave Ste 202, Pasadena, CA 91101-5248 | 2016-03-24 |
| 1235599598 | White Memorial Medical Center | Clinic/Center | 259 N Euclid Ave, Apt 12, Pasadena, CA 91101-1516 | 2016-02-29 |
| 1154714772 | R&r Clinical | Clinic/Center | 1403 N Fair Oaks Ave Ste 1, Pasadena, CA 91103-1865 | 2015-03-06 |
| 1184963183 | Cac-family Medical Centers | Clinic/Center | 3901 Spencer Hwy, Pasadena, TX 77504-1205 | 2013-02-11 |
| 1295053023 | Cal Tex Medical Management Associates, LLC | Clinic/Center | 908 E Southmore Ave Ste 340, Pasadena, TX 77502-1133 | 2010-05-04 |
| 1700019882 | Zuhair Albana Md Pa | Clinic/Center | 1946 Pasadena Blvd, Pasadena, TX 77502-2742 | 2009-08-24 |
| 1144434341 | Laser Eye Care of California, LLC | Clinic/Center | 790 E Colorado Blvd, Ste. 100, Pasadena, CA 91101-2113 | 2007-05-09 |
| 1649308412 | Neurolink Diagnostics Co. LLC. | Clinic/Center | 600 S. Lake Ave, #205, Pasadena, CA 91106 | 2007-03-01 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.