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1447708128
CLEARLAKE KIDS PSYCHIATRY
HOUSTON, TX
NPI
1447708128
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Entity Type
Organization
Authorized Contact
JEANNE RUSSELL
Owner
903-918-3294
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00473)
Enumeration Date
2016-09-12
Last Update Date
2017-09-05
Business Address
CLEARLAKE KIDS PSYCHIATRY
17226 MERCURY DR SUITE 100
HOUSTON, TX 77058-2792
Phone number: 281-975-0600
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Mailing Address
CLEARLAKE KIDS PSYCHIATRY
17226 MERCURY DR SUITE 100
HOUSTON, TX 77058-2792
Phone number: 281-975-0600
Copy
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