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Organization

CLEAR LAKE PEDIATRIC CLINIC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE M COOK (BUSINESS MANAGER)
(281) 332-4830
Entity
Organization

Contact information

Practice address
16 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-3503
(201) 849-7650
Mailing address
16 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-3503
(201) 849-7650

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0843393-01
TX
Enumeration date
05/15/2007
Last updated
08/19/2025
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