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NPI Code Detail

MEDICARE: CLEAR LAKE FAMILY PHYSICIANS, LLP

MEDICARE: CLEAR LAKE FAMILY PHYSICIANS, LLP
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1821054826
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEAR LAKE FAMILY PHYSICIANS, LLP
Provider Business Mailing Address
First Line : 14903 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2603
Country : US
Telephone Number : 281-486-7900
Fax Number : 281-286-8110
Provider Business Practice Location Address
First Line : 14903 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2603
Country : US
Telephone Number : 281-486-7900
Fax Number : 281-286-8110
Authorized Official
Title or Position : OWNER
Name : DR. JOE E POUZAR JR.
Credential : M.D.
Telephone Number : 281-486-7900
Provider Enumeration Date : 04/26/2006
Last Update Date : 09/15/2014

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Directions to “CLEAR LAKE FAMILY PHYSICIANS, LLP ” Practice Location

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