Organization
CLEAR LAKE CARDIOVASCULAR CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED S AHMED MD (PRESIDENT)
(281) 332-1515
Entity
Organization
Contact information
Practice address
450 MEDICAL CENTER BLVD, SUITE 308, WEBSTER, TX 77598-4234
(281) 332-1515
(281) 332-2525
Mailing address
PO BOX 58535, WEBSTER, TX 77598-8535
(281) 332-1515
(281) 332-2525
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K9962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114956869
NPI
TX
05
—
184676801
—
TX
Enumeration date
07/02/2006
Last updated
01/07/2010
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