MEDICARE: CLEAR LAKE PULMONARY & SLEEP CLINIC PLLC

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	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1740141142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR LAKE PULMONARY & SLEEP CLINIC PLLC

Provider Business Mailing Address
First Line	:	310 MORNINGSIDE DR UNIT 1692
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-9998
Country	:	US
Telephone Number	:	281-947-2462
Fax Number	:	281-595-1275

Provider Business Practice Location Address
First Line	:	2045 SPACE PARK DR STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-6310
Country	:	US
Telephone Number	:	281-947-2462
Fax Number	:	281-595-1275

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	RAVIKANTH PAPANI
Credential	:
Telephone Number	:	281-947-2462

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	04/19/2026

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