Provider Demographics
NPI:1962638023
Name:FAIRMONT INFUSION CENTER, PLLC
Entity Type:Organization
Organization Name:FAIRMONT INFUSION CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-998-8109
Mailing Address - Street 1:PO BOX 5187
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77508-5187
Mailing Address - Country:US
Mailing Address - Phone:281-998-8109
Mailing Address - Fax:281-487-0812
Practice Address - Street 1:4001 PRESTON AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-2069
Practice Address - Country:US
Practice Address - Phone:281-998-8109
Practice Address - Fax:281-487-0812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy