Organization
CLEAR LAKE ONCOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE FRAZIER (EXECUTIVE DIRECTOR)
(281) 724-7145
Entity
Organization
Contact information
Practice address
600 N KOBAYASHI STE 310, WEBSTER, TX 77598
(281) 724-8335
(281) 724-1861
Mailing address
PO BOX 58778, WEBSTER, TX 77598-8778
(281) 724-8335
(281) 724-1861
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346569316
NPI
TX
01
—
1639360829
NPI
TX
Enumeration date
03/25/2015
Last updated
06/19/2024
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