Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmont Childrens PLLC

Organization Pediatrics Physician · NPI 1033778170

Fairmont Childrens PLLC is a Pediatrics Physician in Pasadena, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4002 Burke Rd Ste 200
Pasadena, TX 77504-3451
Phone: (832) 241-3540
Fax: (832) 241-3750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1033778170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jilly Vidyasagdran — Authorized Signer · (832) 241-3540
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019
Mailing address4002 Burke Rd Ste 100, Pasadena, TX 77504-3451

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