CLEAR LAKE CARDIOVASCULAR CARE PA NPI 1114956869

NPI Information

  • NPI: 1114956869
  • Provider Name: CLEAR LAKE CARDIOVASCULAR CARE PA
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 450 MEDICAL CENTER BLVD
    SUITE 308
    WEBSTER, TX
    ZIP 77598
  • Phone: (281) 332-1515

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NPI Details

CLEAR LAKE CARDIOVASCULAR CARE PA is a cardiovascular disease internal medicine in Webster, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CLEAR LAKE CARDIOVASCULAR CARE PA NPI is 1114956869. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 MEDICAL CENTER BLVD
SUITE 308
WEBSTER, TX
ZIP 77598-234
Phone: (281) 332-1515
Fax: (281) 332-2525

The provider's authorized official is Ahmed S Ahmed .
The authorized official title is President and has the following contact phone number (281) 332-1515.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 1/7/2010.

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
1207RC0000XInternal MedicineCardiovascular DiseaseK9962TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114956869OTHERTEXASNPI
2184676801MEDICAIDTEXAS
300W851MEDICARE PINTEXAS

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: 3/30/2025

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