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Clear Lake Internal Medicine Care Pa
Specialist in Webster, Texas
NPI 1972780906

Clear Lake Internal Medicine Care Pa is a Specialist based in Houston, TX. Clear Lake Internal Medicine Care Pa practices in Webster, TX. The NPI Number for Clear Lake Internal Medicine Care Pa is 1972780906 and holds a License No. K2581 (Texas).

The current practice location address for Clear Lake Internal Medicine Care Pa is 709 Medical Center Dr., Webster, TX and can be reached out via phone at 713-770-0691 and via fax at 281-220-8356.

Location: 709 Medical Center Dr., Webster, TX, 77289-1125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972780906
Provider Name
Clear Lake Internal Medicine Care Pa
Credential
Provider Entity Type
Organization
Address
709 Medical Center Dr., Webster, TX, 77289-1125
Phone Number
713-770-0691
Fax Number
281-220-8356
Provider Enumeration Date
01/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174317101 05 TX
DD2664 01 TX RAILROAD MEDICARE
0054MS 01 TX BCBSTX
institution
Provider Business Practice Location Address Details
Address
709 Medical Center Dr.
City
Webster
State
Texas
Zip
77598
Phone Number
713-770-0691
Fax Number
281-220-8356
person
Provider Business Mailing Address Details
Address
709 Medical Center Dr.
City
Webster
State
Texas
Zip
77598
Phone Number
713-770-0691
Fax Number
281-220-8356
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
K2581 (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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