Organization
PROVIDENCE CLEARLAKE SPECIALTY HOSPITAL LLC
Active
Other names
CLEARLAKE SPECIALTY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
ARIN TIJERINA (CREDENTIALING)
(281) 453-7232
Entity
Organization
Contact information
Practice address
1351 CLEARLAKE CITY BLVD, HOUSTON, TX 77062
(281) 453-7232
(281) 453-2203
Mailing address
20320 NORTHWEST FWY STE 900, JERSEY VILLAGE, TX 77065-5620
(281) 453-7232
(281) 453-2203
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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