CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY NPI 1215386057

NPI Information

CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY is a facial plastic surgery otolaryngology in Houston, TX. The provider is an otolaryngologist who specializes in facial plastic surgery. CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY NPI is 1215386057. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Clfars.

The provider's business location address is:

18100 SAINT JOHN DR
SUITE 240
HOUSTON, TX
ZIP 77058-631
Phone: (832) 720-5477
Fax: (281) 335-7766

The provider's authorized official is Melissa Hu .
The authorized official title is Owner and has the following contact phone number (832) 360-4515.

The enumeration date for this NPI number is 6/11/2016 and was last updated on 6/11/2016.

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:

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