Active NPI
Eldercom of Clear Lake, Inc
- Hearing and Speech Clinic/Center
- League City, TX
National Provider Identifier
1124203518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 92506
- Legal business name
- ELDERCOM OF CLEAR LAKE, INC
- Practice address
- 3027 Marina Bay Dr
Suite 110
League City, TX 77573-2729 - Phone
- (281) 642-2700
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toni Turner, MCD CCC SLP
- Title
- Speech Language Patholgist
- Phone
- (281) 642-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 92506 | TX | Primary |
Addresses
Primary practice location
3027 Marina Bay Dr
Suite 110
League City, TX 77573-2729
Mailing address
3027 Marina Bay Dr
Suite 110
League City, TX 77573-2729
Phone (281) 642-2700
National Provider Directory
National Provider DirectoryLocations
3027 Marina Bay Dr
Ste 110
League City, TX 77573
Phone (281) 642-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199318400000",
"number": "1124203518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 MARINA BAY DR",
"address_2": "SUITE 110",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732729",
"telephone_number": "281-642-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 MARINA BAY DR",
"address_2": "SUITE 110",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732729",
"telephone_number": "281-642-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDERCOM OF CLEAR LAKE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLGIST",
"authorized_official_telephone_number": "281-642-2700",
"authorized_official_credential": "MCD CCC SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "TX",
"license": "92506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.