Active NPI
Clear Lake Surgery Center, PLLC
- Ambulatory Surgical Clinic/Center
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- J7218
- Legal business name
- CLEAR LAKE SURGERY CENTER, PLLC
- Practice address
- 14018 Aesthetic Cir
Houston, TX 77062-2373 - Phone
- (281) 204-8017
- Fax
- (281) 204-8018
- NPI assigned
- Jan 16, 2009
- 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
- Samir M Sukkar, MD
- Title
- President
- Phone
- (281) 990-8487
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | J7218 | TX | Primary |
Addresses
Primary practice location
14018 Aesthetic Cir
Houston, TX 77062-2373
Mailing address
14018 Aesthetic Cir
Houston, TX 77062-2373
Phone (281) 204-8017
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2228535 | PS Surgery Center | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
1616 Clear Lake City Blvd
Ste 102A
Houston, TX 77062
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Houston, TX
- NPI 1902844509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632355200000",
"number": "1508003286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14018 AESTHETIC CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770622373",
"telephone_number": "281-204-8017",
"fax_number": "281-204-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14018 AESTHETIC CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770622373",
"telephone_number": "281-204-8017",
"fax_number": "281-204-8018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR LAKE SURGERY CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-16",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A",
"authorized_official_last_name": "SUKKAR",
"authorized_official_first_name": "SAMIR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-990-8487",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "J7218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.