Organization
CLEAR LAKE INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHAEL HENDRIKZ (OPERATIONS MANAGER)
(713) 425-2524
Entity
Organization
Contact information
Practice address
1335 REGENTS PARK DR STE 110, HOUSTON, TX 77058-2541
(713) 425-2524
(281) 783-2318
Mailing address
1335 REGENTS PARK DR STE 110, HOUSTON, TX 77058-2541
(713) 425-2524
(281) 783-2318
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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