PROVIDENCE ER OF CLEARLAKE PLLC NPI 1073136628

NPI Information

NPI: 1073136628
Provider Name: PROVIDENCE ER OF CLEARLAKE, PLLC

Doing Business As: HOUSTON MEDICAL ER

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 45D2071832

Address:
1351 CLEARLAKE CITY BLVD
HOUSTON, TX
ZIP 77062
Phone: (713) 344-1514
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PROVIDENCE ER OF CLEARLAKE, PLLC is an emergency care clinic center in Houston, TX. PROVIDENCE ER OF CLEARLAKE, PLLC NPI is 1073136628. The provider is registered as an organization entity type.
The provider Is Doing Business As Houston Medical Er.

The provider's business location address is:

1351 CLEARLAKE CITY BLVD
HOUSTON, TX
ZIP 77062
Phone: (713) 344-1514
Fax: (713) 344-1433

The provider's authorized official is Minh Nguyen .
The authorized official title is Owner and has the following contact phone number (281) 453-7916.

The CLIA number assigned to this NPI record is 45D2071832 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2020 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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