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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
P7468 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
CLFARS | Other Name - Individual/Organization |
Street Address |
18100 SAINT JOHN DR SUITE 240 |
City | HOUSTON |
State | TX |
Zip Code | 77058-3631 |
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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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 |
Find all providers in zip 77058 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
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. |
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 |
Find all providers in HOUSTON |
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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.