CLEARLAKE KIDS PSYCHIATRY

HOUSTON, TX
NPI1447708128
Entity TypeOrganization
Authorized ContactJEANNE RUSSELL
Owner
903-918-3294
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00473)
Enumeration Date2016-09-12
Last Update Date2017-09-05
Business Address
CLEARLAKE KIDS PSYCHIATRY
17226 MERCURY DR SUITE 100
HOUSTON, TX 77058-2792
Phone number: 281-975-0600
Mailing Address
CLEARLAKE KIDS PSYCHIATRY
17226 MERCURY DR SUITE 100
HOUSTON, TX 77058-2792
Phone number: 281-975-0600