Organization
PEDIATRIC CRITICAL CARE OF CLEAR LAKE PLLC
Active
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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