# CLEAR LAKE INTEGRATIVE MEDICINE

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

## Provider details

- **NPI number:** 1972134229
- **Authorized official:** MS. RACHAEL HENDRIKZ (OPERATIONS MANAGER)
- **Authorized official phone:** (713) 425-2524

## Contact information

- **Practice address:** 1335 REGENTS PARK DR STE 110, HOUSTON, TX 77058-2541
- **Practice address phone:** (713) 425-2524
- **Practice address fax:** (281) 783-2318
- **Mailing address:** 1335 REGENTS PARK DR STE 110, HOUSTON, TX 77058-2541
- **Mailing address phone:** (713) 425-2524
- **Mailing address fax:** (281) 783-2318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 01/27/2020