Clear Lake Ent, P.A in Houston - Specialist
Clear Lake Ent, P.A - NPI 1629267752
Clear Lake Ent, P.A is a Specialist in Houston, Texas. Clear Lake Ent, P.A practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clear Lake Ent, P.A is 1629267752. The last update date is 2007-10-15.
Clear Lake Ent, P.A's current location address is Po Box 580451, Houston, Texas. You can contact this provider via phone number 2813357755 and fax number 2813357766. The mailing address for Clear Lake Ent, P.A is Po Box 580451, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clear Lake Ent, P.A |
|---|---|
| Address | Po Box 580451, Houston, Texas |
| Phone Number | 2813357755 |
| Fax Number | 2813357766 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jimenez Alfredo |
| Credentials | M.D. |
| Telephone Number | 2813357755 |
NPI Number Detail
| NPI Number | 1629267752 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | Po Box 580451 |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 772580451 |
| Phone Number | 2813357755 |
| Fax Number | 2813357766 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | J4653 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8K6340 | TX | BCBS | |
| 0029KV | TX | MCARE | |
| F68110 | TX | UPIN | |
| 10023864 | TX | AMERIGROUP |
Post Comment/ Review Below
What is the unique identification code assigned to Clear Lake Ent, P.A by the Centers for Medicare & Medicaid Services?
The Clear Lake Ent, P.A has been issued the NPI (National Provider Identifier) 1629267752. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clear Lake Ent, P.A's facilities are geographically located?
The facilities of Clear Lake Ent, P.A are physically situated at the following location: Po Box 580451, Houston, TX, 772580451.
What is Clear Lake Ent, P.A's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clear Lake Ent, P.A is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date was the 1629267752 assigned to Clear Lake Ent, P.A?
The Clear Lake Ent, P.A was issued its 1629267752 on 2007-10-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Clear Lake Ent, P.A most recently updated or revised?
The details related to Clear Lake Ent, P.A, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-15.
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