CLEAR LAKE SPINE CENTER LLC NPI 1275786592

NPI Information

  • NPI: 1275786592
  • Provider Name: CLEAR LAKE SPINE CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3750 MEDICAL PARK DR
    SUITE 300
    DICKINSON, TX
    ZIP 77539
  • Phone: (713) 357-4400

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NPI Details

CLEAR LAKE SPINE CENTER, LLC is an ambulatory surgical clinic center in Dickinson, TX. CLEAR LAKE SPINE CENTER, LLC NPI is 1275786592. The provider is registered as an organization entity type.

The provider's business location address is:

3750 MEDICAL PARK DR
SUITE 300
DICKINSON, TX
ZIP 77539
Phone: (713) 357-4400

The provider's authorized official is Jeremy C Wang .
The authorized official title is Spine and has the following contact phone number (713) 807-7721.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 10/30/2008.

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
1261QA1903XClinic/CenterAmbulatory Surgical008379TEXASYes

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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