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CLEAR LAKE PEDIATRIC NEPHROLOGY P.A. NPI 1912263021


NPI Information

NPI: 1912263021
Provider Name: CLEAR LAKE PEDIATRIC NEPHROLOGY, P.A.
Classification: Pediatrics - 2080P0210X
Entity Type: Organization

Specialization: Pediatric Nephrology

Address:
400 MEDICAL CENTER BLVD
SUITE 118
WEBSTER, TX
ZIP 77598
Phone: (281) 338-0700
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CLEAR LAKE PEDIATRIC NEPHROLOGY, P.A. is a pediatric nephrology pediatrics in Webster, TX. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. CLEAR LAKE PEDIATRIC NEPHROLOGY, P.A. NPI is 1912263021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 MEDICAL CENTER BLVD
SUITE 118
WEBSTER, TX
ZIP 77598-235
Phone: (281) 338-0700

The provider's authorized official is Nasreen Azam .
The authorized official title is President/owner and has the following contact phone number (281) 557-7308.

The enumeration date for this NPI number is 4/3/2012 and was last updated on 5/11/2012.


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
12080P0210XPediatricsPediatric NephrologyYes

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

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