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General NPI Number Information
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NPI Number | 1295693059
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Entity Type | Organization
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Legal Business Name | FPER CLEAR LAKE, LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 16660 HIGHWAY 3
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City | WEBSTER
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State | TX
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Zip | 77598-2116
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Country | US
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Telephone | 713-376-4527
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Fax |
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Provider Business Mailing Address
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Address Line | 933 W 15TH 1/2 ST
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City | HOUSTON
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State | TX
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Zip | 77008-3413
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Country | US
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Telephone | 713-376-4527
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KEEGAN CHASE MASSEY
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Credential | MD
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Telephone | 713-376-4527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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