MEDICARE: CHCA CLEAR LAKE LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1003758988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHCA CLEAR LAKE LP

Provider Business Mailing Address
First Line	:	3302 PALMER HWY
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-6510
Country	:	US
Telephone Number	:	409-641-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3302 PALMER HWY
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-6510
Country	:	US
Telephone Number	:	409-641-2700
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BRYAN SHEPHERD
Credential	:
Telephone Number	:	281-332-2511

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/10/2026

Similar Medicare Providers

1902820780 — TONA J KELLER PA-C
Practice Location Address:

6510 MEMORIAL DR
TEXAS CITY, TX
77591-4016

Practice Phone: 409-933-0733
Practice Fax: 409-933-9777

1821057696 — DR. JAMES WALTON HOGIN D.O.
Practice Location Address:

6510 S WESTERN AVE , STE 100
OKLAHOMA CITY, OK
73139-1712

Practice Phone: 405-634-5400
Practice Fax: 405-634-5174

1073560942 — GRAND SLAM REHABILITATION L.L.C.
Practice Location Address:

6510 S WESTERN AVE , SUITE 400
OKLAHOMA CITY, OK
73139-1712

Practice Phone: 405-631-8888
Practice Fax: 405-631-9593

1164466975 — DR. TRENA KAYE STEWART D.D.S.
Practice Location Address:

6510 S WESTERN AVE STE 201
OKLAHOMA CITY, OK
73139-1712

Practice Phone: 405-629-0020
Practice Fax: 405-629-0022

1346277530 — DR. ROSS E POPE D.O.
Practice Location Address:

6510 S WESTERN AVE , SUITE 100
OKLAHOMA CITY, OK
73139-1712

Practice Phone: 405-634-5400
Practice Fax: 405-634-5174

1033125737 — MR. JAMES DAVID DAVISON R.P.T.
Practice Location Address:

6510 S WESTERN AVE , SUITE 400
OKLAHOMA CITY, OK
73139-1712

Practice Phone: 405-631-8888
Practice Fax: 405-631-9593

Directions to “CHCA CLEAR LAKE LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.