CLEAR LAKE INTEGRATIVE MEDICINE NPI 1972134229

NPI Information

  • NPI: 1972134229
  • Provider Name: CLEAR LAKE INTEGRATIVE MEDICINE
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1335 REGENTS PARK DR STE 110
    HOUSTON, TX
    ZIP 77058
  • Phone: (713) 425-2524

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NPI Details

CLEAR LAKE INTEGRATIVE MEDICINE is a general practice in Houston, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CLEAR LAKE INTEGRATIVE MEDICINE NPI is 1972134229. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1335 REGENTS PARK DR STE 110
HOUSTON, TX
ZIP 77058-541
Phone: (713) 425-2524
Fax: (281) 783-2318

The provider's authorized official is Rachael Hendrikz .
The authorized official title is Operations Manager and has the following contact phone number (713) 425-2524.

The enumeration date for this NPI number is 1/27/2020 and was last updated on 1/27/2020.

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
1208D00000XGeneral PracticeYes

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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