Pediatric Specialists Of Clearlake Pllc

LBN: Pediatric Specialists Of Clearlake Pllc
Pediatric Specialists Of Clearlake Pllc is an health care organization with primary practice located at 450 Medical Center Blvd Stuie 600, Webster TX 77598-4234. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Pediatric Specialists Of Clearlake Pllc can be contacted via phone (281) 554-4300, or through Evans, Todd via phone (713) 852-1550.

Contact Information

Primary practice address
450 Medical Center Blvd Stuie 600 Webster TX 77598-4234
Phone: (281) 554-4300
Fax: (281) 554-4355
Website:
Map and Directions
Authorized official contact:
Name: Evans, Todd
Phone: (713) 852-1550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1770743304
LBN Legal business name Pediatric Specialists Of Clearlake Pllc
DBA Doing business as
Authorized official Evans, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2008
Last updated Apr 1st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770743304 NPPES
Texas MEDICAID 196271401

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