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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