Organization
CLEAR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JOHNSON-FOWLER (OWNER)
(832) 462-3781
Entity
Organization
Contact information
Practice address
7333 NORTH FWY STE 111, HOUSTON, TX 77076-1347
(346) 606-9259
Mailing address
7333 NORTH FWY STE 111, HOUSTON, TX 77076-1347
(346) 606-9259
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L7373
TEXAS MEDICAL BOARD
TX
Enumeration date
03/23/2022
Last updated
03/25/2022
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