Healthcare Provider Details

I. General information

NPI: 1205754728
Provider Name (Legal Business Name): CLEAR TRACE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25700 I 45 N STE 4200
THE WOODLAND TX
77386
US

IV. Provider business mailing address

25700 I 45 N STE 4200
THE WOODLAND TX
77386
US

V. Phone/Fax

Practice location:
  • Phone: 281-824-7207
  • Fax: 281-824-7212
Mailing address:
  • Phone: 281-824-7207
  • Fax: 281-824-7212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name: SHANNA DANGERFIELD-ELSE
Title or Position: AUTHORIZED PERSON
Credential:
Phone: 281-307-2765