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Organization

CLEAR LAKE FOOT & ANKLE SPECIALIST PA

Active
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Organization

CLEAR LAKE FOOT & ANKLE SPECIALIST PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAREN LINDSAY CARDONA DPM (OWNER)
(281) 488-8300
Entity
Organization

Contact information

Practice address
13810 JOHN AUDUBON PKWY STE B, WEBSTER, TX 77598-3862
(281) 488-8300
Mailing address
13810 JOHN AUDUBON PKWY STE B, WEBSTER, TX 77598-3862
(281) 488-8300

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047948702
TX
01
P01017253
MEDICARE RR
TX
Enumeration date
09/14/2009
Last updated
05/13/2019
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