Organization · Type 2 NPI
Providence Er of Clearlake, PLLC
Emergency Care Clinic/Center · Houston, TX
NPI number
1073136628
Active
Practice location
1351 Clearlake City Blvd
Houston, TX 77062
Fax (713) 344-1433
Mailing address
5037B FM 2920 Rd
Spring, TX 77388-3114
Other practice locations
- 2306 Rayford Rd, Spring, TX 77386-1707 · (832) 482-9595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Care Clinic/Center Primary | 261QE0002X | None listed |
Emergency Care Clinic/Center: Definition to come...
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About NPI 1073136628
Providence Er of Clearlake, PLLC's National Provider Identifier is 1073136628, issued on May 18, 2020. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Houston, TX. The record was last updated on Sep 8, 2020.