Organization
CLEAR LAKE NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE BURNETT M.D. (OWNER)
(281) 218-7660
Entity
Organization
Contact information
Practice address
17000 EL CAMINO REAL, #205, HOUSTON, TX 77058-2636
(281) 218-7660
(281) 990-7883
Mailing address
17000 EL CAMINO REAL, #205, HOUSTON, TX 77058-2636
(281) 218-7660
(281) 990-7883
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H1934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117383301
—
TX
Enumeration date
10/17/2006
Last updated
04/15/2010
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