CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY


Address: 18100 Saint John Dr, Suite 240, Houston, TX 77058-3631
Phone: 8327205477

CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY (NPI# 1215386057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215386057
Entity Type Organization
Organization Name CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY
Other Organization Name CLFARS
Practice Address 18100 Saint John Dr
Suite 240
Houston
TX 77058-3631
Practice Telephone 8327205477
Practice Fax Number 2813357766
Mailing Telephone 8327205477
Mailing Fax Number 2813357766
Enumeration Date 2016-06-11
Last Update Date 2016-06-11
Authorized Official Name MELISSA HU (OWNER)
Authorized Official Telephone 8323604515
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
P7468 TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
CLFARS Other Name - Individual/Organization

Office Location

Street Address 18100 SAINT JOHN DR
SUITE 240
City HOUSTON
State TX
Zip Code 77058-3631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821098526 Richard Ehlers Surgery 18100 Saint John Dr, Ste. 320, Houston, TX 77058-3631 2005-07-26
1700045606 Mehrad Adibi Urology 18100 Saint John Dr, Houston, TX 77058-3631 2008-06-05
1629267752 Clear Lake Ent, P.a Specialist 18100 Saint John Dr, Suite 240, Houston, TX 77058-3631 2007-10-15
1245447531 Jenna Lee Tubbs Specialist/Technologist 18100 Saint John Dr, Suite 100, Houston, TX 77058-3631 2007-05-17
1760605539 Alfred Tennyson Mitchell Plastic Surgery 18100 Saint John Dr, Suite 220, Houston, TX 77058-3631 2007-04-10
1376679118 Margarita Mallari-brumlow Physical Therapist 18100 Saint John Dr, Houston, TX 77058-3631 2007-02-26
1730215583 Jenna Lawless Physical Therapist 18100 Saint John Dr, Houston, TX 77058-3631 2007-02-26
1164570263 Cathy Poerner Supak Specialist/Technologist 18100 Saint John Dr, Suite 100, Houston, TX 77058-3631 2007-01-08
1356424733 Bay Area Hand Institute Plastic Surgery 18100 Saint John Dr, Suite 220, Houston, TX 77058-3631 2006-10-22
1366410318 Maria Carmen Visus Internal Medicine 18100 Saint John Dr, 280, Houston, TX 77058-3631 2006-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699248807 Jolly Joseph Nurse Practitioner 18300, Houston Methodist, Houston, TX 77058 2019-01-10
1700372992 Jasmin Elise Auzenne Audiologist 17625 El Camino Real Ste 155, Houston, TX 77058 2018-07-10
1053801225 Dialyspa Vii LLC Clinic/Center 1411 Bonner St., Houston, TX 77058 2018-05-14
1699263285 Pneucare, LLC Durable Medical Equipment & Medical Supplies 1322 Space Park Dr Ste C120, Houston, TX 77058 2018-04-29
1972005189 Limy Fernandus Nurse Practitioner 985 E Nasa Pkwy, Houston, TX 77058 2018-03-03
1033623616 Sigi Paul Nurse Practitioner 1210 El Camino Village Dr., Houston, TX 77058 2017-11-19
1881107845 Jennifer Elise Hobson Counselor 1322 Space Park Dr Ste B123, Houston, TX 77058 2017-11-13
1174035778 Agrarian Wellness, LLC Registered Nurse 17000 El Camino Real Ste 209, Houston, TX 77058 2017-11-04
1013468073 Cynthia Bandemer Counselor 17300 El Camino Real Ste 107d, Houston, TX 77058 2016-10-14
1043698533 Hopewell Home Healthcare LLC Nursing Care 18090 Kings Row, Houston, TX 77058 2015-05-15
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Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033414115 Philip Yosowitz, M.d., P.a. Otolaryngology 75515 S. Main, #730, Houston, TX 77030 2011-01-20
1003941790 Hector Martinez Viera Otolaryngology 2530 W Holcombe Blvd, Houston, TX 77030-1904 2007-02-22
1194889642 Russell William Kridel Otolaryngology 6655 Travis St Ste 900, Houston, TX 77030-1336 2006-12-20
1043879539 Rodman Surgical Pllc Otolaryngology 9230 Katy Freeway, Suite 420, Houston, TX 77055-7705 2019-06-10
1497062533 Sinus Ent & Facial Plastic Surgery of Houston LLC Otolaryngology 2000 Crawford St, Ste 800 A, Houston, TX 77002 2010-09-10
1801121686 The Belage Center, Pllc Otolaryngology 7700 San Felipe St, Suite 280, Houston, TX 77063-1611 2009-10-12
1740456482 Scott A. Cohen M D Otolaryngology 6655 Travis St, Suite 840, Houston, TX 77030-1312 2008-05-02
1770755308 Tang Ho Otolaryngology 6400 Fannin St, Suite 2700, Houston, TX 77030-1521 2008-03-24
1316074065 Smith Cosmetic Surgery Center Otolaryngology 6410 Fannin St, Suite 810, Houston, TX 77030-3000 2007-02-28
1730265612 Raghu Sudarshan Athre Otolaryngology 2121 Sage Rd, Suite 245, Houston, TX 77056-4390 2006-10-31
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Competitor

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City HOUSTON
Zip Code 77058

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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