institution
Clear Lake Ent, P.a
Specialist in Houston, Texas
NPI 1629267752

Clear Lake Ent, P.a is a Specialist based in Houston, TX. Clear Lake Ent, P.a practices in Houston, TX. The NPI Number for Clear Lake Ent, P.a is 1629267752 and holds a License No. J4653 (Texas).

The current practice location address for Clear Lake Ent, P.a is 18100 Saint John Dr, Houston, TX and can be reached out via phone at 281-335-7755 and via fax at 281-335-7766.

Location: 18100 Saint John Dr, Houston, TX, 77258-0451
institution
Provider Profile Details
NPI Number
1629267752
Provider Name
Clear Lake Ent, P.a
Credential
Provider Entity Type
Organization
Address
18100 Saint John Dr, Houston, TX, 77258-0451
Phone Number
281-335-7755
Fax Number
281-335-7766
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8K6340 01 TX BCBS
0029KV 01 TX MCARE
F68110 01 TX UPIN
10023864 01 TX AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
18100 Saint John Dr
City
State
Zip
77058-3631
Phone Number
281-335-7755
Fax Number
281-335-7766
person
Provider Business Mailing Address Details
Address
18100 Saint John Dr
City
State
Zip
77058-3631
Phone Number
281-335-7755
Fax Number
281-335-7766
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
J4653 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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