| NPI | 1508280439 |
|---|---|
| Doing Business As | CLEAR LAKE HEALTHCARE PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | DAVID A FAIRWEATHER President 832-831-9861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX L7373) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |