Organization Active NPI

USA Emergency Physicians Clear Lake, PLLC

  • Emergency Care Clinic/Center
  • Houston, TX
National Provider Identifier
1528583366
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
USA EMERGENCY PHYSICIANS CLEAR LAKE, PLLC
Practice address
3351 Clear Lake City Blvd Ste 100
Houston, TX 77059-2513
Phone
(281) 280-0911
NPI assigned
Aug 12, 2017
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Dr. Jared T Shahan, MD
Title
Governing Board Member
Phone
(512) 451-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU Primary

Addresses

Primary practice location

3351 Clear Lake City Blvd Ste 100
Houston, TX 77059-2513

Mailing address

5525 Burnet Rd Ste a
Austin, TX 78756-1646
Phone (512) 451-0911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1528583366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BURNET RD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561646",
            "telephone_number": "512-451-0911",
            "fax_number": "281-280-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 CLEAR LAKE CITY BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592513",
            "telephone_number": "281-280-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA EMERGENCY PHYSICIANS CLEAR LAKE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-12",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "SHAHAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GOVERNING BOARD MEMBER",
        "authorized_official_telephone_number": "512-451-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "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 Mar 22, 2024; 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.