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Clear Lake Neuro Diagnostic Clinic Pllc
Specialist in Webster, Texas
NPI 1972642940

Clear Lake Neuro Diagnostic Clinic Pllc is a Specialist based in Webster, TX. Clear Lake Neuro Diagnostic Clinic Pllc practices in Webster, TX. The NPI Number for Clear Lake Neuro Diagnostic Clinic Pllc is 1972642940 and holds a License No. J9590 (Texas).

The current practice location address for Clear Lake Neuro Diagnostic Clinic Pllc is 380 E Medical Center Blvd, Webster, TX and can be reached out via phone at 281-332-6949 and via fax at 281-332-6965.

Location: 380 E Medical Center Blvd, Webster, TX, 77598-4321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972642940
Provider Name
Clear Lake Neuro Diagnostic Clinic Pllc
Credential
Provider Entity Type
Organization
Address
380 E Medical Center Blvd, Webster, TX, 77598-4321
Phone Number
281-332-6949
Fax Number
281-332-6965
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE5776 01 TX MEDICARE, RAILROAD
institution
Provider Business Practice Location Address Details
Address
380 E Medical Center Blvd
City
Webster
State
Texas
Zip
77598-4321
Phone Number
281-332-6949
Fax Number
281-332-6965
person
Provider Business Mailing Address Details
Address
380 E Medical Center Blvd
City
Webster
State
Texas
Zip
77598-4321
Phone Number
281-332-6949
Fax Number
281-332-6965
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J9590 (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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