CLEAR CHOICE PHYSICIAN GROUP NPI 1417522657

NPI Information

NPI: 1417522657
Provider Name: CLEAR CHOICE PHYSICIAN GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2163656

Address:
7105 N BARTLETT AVE STE 101
LAREDO, TX
ZIP 78041
Phone: (281) 363-3156
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CLEAR CHOICE PHYSICIAN GROUP is a multi-specialty clinic center in Laredo, TX. CLEAR CHOICE PHYSICIAN GROUP NPI is 1417522657. The provider is registered as an organization entity type.

The provider's business location address is:

7105 N BARTLETT AVE STE 101
LAREDO, TX
ZIP 78041-466
Phone: (281) 363-3156

The provider's authorized official is Robert Castaneda .
The authorized official title is Ceo and has the following contact phone number (956) 242-4225.

The CLIA number assigned to this NPI record is 45D2163656 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/20/2021.

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	261QM1300X	Clinic/Center	Multi-Specialty			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: 11/14/2023

NPI Synchronization or Removal

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