Organization
CLEAR LAKE WEBSTER MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA GUICE (ACCOUNT MANAGER)
(331) 305-2813
Entity
Organization
Contact information
Practice address
218 W NASA PKWY STE C, WEBSTER, TX 77598-5208
(630) 413-4307
Mailing address
1000 JORIE BLVD STE 370, OAK BROOK, IL 60523-4512
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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