Organization
PEDIATRIC CRITICAL CARE OF CLEAR LAKE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (PRESIDENT)
(713) 852-1500
Entity
Organization
Contact information
Practice address
500 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 554-4300
(281) 554-4355
Mailing address
450 MEDICAL CENTER BLVD, STE 600, WEBSTER, TX 77598-4234
(713) 852-1565
(866) 638-6744
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
12/05/2008
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