Organization
CLEAR LAKE SURGICARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
502 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 332-2433
(281) 332-0619
Mailing address
502 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 332-2433
(281) 332-0619
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107609301
—
TX
Enumeration date
04/07/2006
Last updated
04/17/2018
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