Individual provider Active NPI

Celia Marie Vaclavik, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1164703393
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07503 Issued in TX
Practice address
17756 Katy Fwy Ste G1
Houston, TX 77094-1380
Phone
(832) 772-3330
Fax
(832) 772-3332
NPI assigned
Sep 1, 2011
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07503 TX Primary

Addresses

Primary practice location

17756 Katy Fwy Ste G1
Houston, TX 77094-1380

Mailing address

17756 Katy Fwy Ste G1
Houston, TX 77094-1380
Phone (832) 772-3330

Other identifiers 1

IdentifierTypeStateIssuer
1467726281OtherTXCLEAR DERMATOLOGY PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000580 TX Practitioner - Physician Assistant 8628237385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Dermatology PLLCGroup PAC ID 0345403663, 4 clinicians

Practice addresses (Care Compare)

17756 Katy Fwy
Suite G1
Houston, TX 77094-1380
Phone (832) 772-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07503TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Dermatology PLLC CurrentSince Feb 16, 2026 Accepting new patients

Locations

17756 Katy Fwy
Ste G1
Houston, TX 77094
Phone (832) 772-3330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1164703393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17756 KATY FWY STE G1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941380",
            "telephone_number": "832-772-3330",
            "fax_number": "832-772-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17756 KATY FWY STE G1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941380",
            "telephone_number": "832-772-3330",
            "fax_number": "832-772-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACLAVIK",
        "first_name": "CELIA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR DERMATOLOGY PLLC",
            "identifier": "1467726281",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.