Pediatric Critical Care of Clear Lake PLLC

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

PEDIATRIC CRITICAL CARE OF CLEAR LAKE PLLC

Practice address

500 Medical Center Blvd
Webster, TX 77598-4220

Phone

(281) 554-4300

Fax

(281) 554-4355

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Todd Evans

Title

President

Phone

(713) 852-1500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gautam Malkani, MD

  • Pediatric Critical Care Medicine Physician
  • Galveston, TX
  • NPI 1538113733

  Pediatric Critical Care Medicine

  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1497916993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MEDICAL CENTER BLVD",
            "address_2": "STE 600",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "713-852-1565",
            "fax_number": "866-638-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984220",
            "telephone_number": "281-554-4300",
            "fax_number": "281-554-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CRITICAL CARE OF CLEAR LAKE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-852-1500"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearland Unicare Pharmacy LLC
• Tammi Renee Peck-Samman, D.O.
• Pediatric Cardiology Care PA
• Pediatric Consultants
• Pediatric Consultants, P.a
• Pediatric Specialists of Clearlake PLLC
• Pedistat L.P.
• Peggy H. Taylor, M.D., P.a.
• Nancy Perachio, PH.D.
• Luz Angela Peralta Hernandez, APRN

• All providers in Webster, TX
• Pediatric Critical Care Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.