Organization
VASU MEDICAL PLLC
Active
Other names
Clear Lake Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MANAN S SHUKLA MD (PRESIDENT)
(612) 306-1509
Entity
Organization
Contact information
Practice address
450 W MEDICAL CENTER BLVD, SUITE 203, WEBSTER, TX 77598-4234
(832) 906-2500
(832) 906-2501
Mailing address
450 W MEDICAL CENTER BLVD, SUITE 203, WEBSTER, TX 77598-4234
(832) 906-2500
(832) 906-2501
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
N9300
TX
Other
Enumeration date
04/19/2017
Last updated
05/02/2017
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