PROVIDENCE ER OF CLEARLAKE, PLLC (NPI# 1073136628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073136628 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE ER OF CLEARLAKE, PLLC |
| Other Organization Name | HOUSTON MEDICAL ER |
| Practice Address |
1351 Clearlake City Blvd Houston TX 77062 |
| Mailing Address |
5037b Fm 2920 Rd Spring TX 77388-3114 |
| Practice Telephone | 7133441514 |
| Practice Fax Number | 7133441433 |
| Mailing Telephone | 2814537916 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | MINH NGUYEN (OWNER) |
| Authorized Official Telephone | 2814537916 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community ER of Clearlake | Doing Business As Name - Organization |
| Houston Medical ER | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2306 Rayford Rd, Spring, TX 773861707 | 8324829595 |
| Street Address |
1351 CLEARLAKE CITY BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457839516 | Providence Clearlake Specialty Hospital LLC | Special Hospital | 1351 Clearlake City Blvd, Houston, TX 77062 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163582 | Amy Ceniza Babanto | Assistant Behavior Analyst | 1001 Pineloch Drive, Suite 600, Houston, TX 77062 | 2018-11-26 |
| 1669977468 | Distinct Abilities Academic Preschool, LLC | Occupational Therapist | 14045 Space Center Blvd., Houston, TX 77062 | 2018-03-26 |
| 1568984128 | Sydney Ann Hayes | Specialist/Technologist | 15818 Seahorse Dr., Houston, TX 77062 | 2017-07-14 |
| 1114389509 | Jts Express Transportation Services, LLC | Private Vehicle | 806 Oak Harbor Drive, Houston, TX 77062 | 2016-03-24 |
| 1609269505 | Lauren Amilcar | Pharmacist | 16590 El Camilo Real, Houston, TX 77062 | 2015-03-17 |
| 1457609000 | Marilyn Ann Straitwell | Registered Nurse | 2323 Clear Lake City Blvd., Suite 180-213, Houston, TX 77062 | 2012-08-29 |
| 1447537477 | Julie H Du | Dentist | 2323 Clear Lake City Blvd. #140, Houston, TX 77062 | 2011-11-04 |
| 1437488756 | Yolanda Franklin | Massage Therapist | 16646 La Avenida Dr., Houston, TX 77062 | 2009-12-16 |
| 1992034391 | Phuong-anh 'christy' Nguyen | Nurse Practitioner | 14642 St. Cloud, Houston, TX 77062 | 2009-12-14 |
| 1699907170 | Michael T Martin | Chiropractor | 907 El Dorado Blvd., Suite B, Houston, TX 77062 | 2009-08-17 |
| Find all providers in zip 77062 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079564 | Montrose Er LLC | Clinic/Center | 1110 W Gray St Ste 201, Houston, TX 77019-4133 | 2020-09-24 |
| 1609481712 | Montrose Er LLC | Clinic/Center | 1110 W Gray St, Houston, TX 77019-4133 | 2020-09-15 |
| 1316401102 | Er365 LLC | Clinic/Center | 101 North Loop Ste 300, Houston, TX 77018-8428 | 2019-01-25 |
| 1295223477 | Life Savers Emergency Room II, LLC | Clinic/Center | 3820 N Shepherd Dr Ste A, Houston, TX 77018-6408 | 2018-04-24 |
| 1528583366 | Usa Emergency Physicians Clear Lake, Pllc | Clinic/Center | 3351 Clear Lake City Blvd Ste 100, Houston, TX 77059-2513 | 2017-08-12 |
| 1265987242 | A Plus Er, Pllc | Clinic/Center | 6380 N Eldridge Pkwy, Houston, TX 77041-3504 | 2016-08-19 |
| 1104296441 | Texakana Ep Pllc | Clinic/Center | 7040 Mapleridge St, Houston, TX 77081-6625 | 2015-09-29 |
| 1306237904 | Summerwood Medical Center | Clinic/Center | 12665 W Lake Houston Pkwy, Houston, TX 77044 | 2015-02-18 |
| 1033511571 | Nec Yorktown Emergency Center, Lp | Clinic/Center | 5853 Hwy 6 North, Houston, TX 77084 | 2014-09-16 |
| 1689084188 | Houston 9520 Jones Medical Center LLC | Clinic/Center | 9530 Jones Rd, Houston, TX 77065-4411 | 2014-05-06 |
| 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.