# CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLFARS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215386057
- **Authorized official:** MELISSA HU M.D. (OWNER)
- **Authorized official phone:** (832) 360-4515

## Contact information

- **Practice address:** 18100 SAINT JOHN DR, SUITE 240, HOUSTON, TX 77058-3631
- **Practice address phone:** (832) 720-5477
- **Practice address fax:** (281) 335-7766
- **Mailing address:** 18100 SAINT JOHN DR, SUITE 240, HOUSTON, TX 77058-3631
- **Mailing address phone:** (832) 720-5477
- **Mailing address fax:** (281) 335-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | P7468 | TX | Yes |

## Other

- **Enumeration date:** 06/11/2016
- **Last updated:** 06/11/2016