# CLEAR LAKE UROLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851420616
- **Authorized official:** JAMES C HUMPHRIES MD (PRESIDENT)
- **Authorized official phone:** (281) 316-3659

## Contact information

- **Practice address:** 350 N TEXAS AVE, SUITE A2, WEBSTER, TX 77598-4959
- **Practice address phone:** (281) 316-3659
- **Practice address fax:** (281) 335-4529
- **Mailing address:** 350 N TEXAS AVE, SUITE A2, WEBSTER, TX 77598-4959
- **Mailing address phone:** (281) 316-3659
- **Mailing address fax:** (281) 335-4529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | J1269 | TX | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 03/12/2008