Organization Active NPI

Bay Area Clinical Services PA

Doing business as Clearwater Community Services

  • Special Hospital
  • Deer Park, TX
National Provider Identifier
1578634069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
BAY AREA CLINICAL SERVICES PA
Doing business as
Clearwater Community Services
Practice address
1305 W Pasadena Blvd
Deer Park, TX 77536-5756
Phone
(281) 542-9923
Fax
(281) 542-9925
NPI assigned
Nov 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Nelson Earle, MDNPI 1750506986
Title
Owner
Phone
(281) 218-8181

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)CodeLicenseStatePrimary
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

1305 W Pasadena Blvd
Deer Park, TX 77536-5756

Mailing address

1560 W Bay Area Blvd
Suite 305
Friendswood, TX 77546-2667
Phone (281) 218-8181

Other names 1

  • Clearwater Community Services Doing business as

National Provider Directory

National Provider Directory

Locations

1305 W Pasadena Blvd
Deer Park, TX 77536
Phone (281) 542-9923

Practitioners & affiliated clinicians

Practitioners 1

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578634069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD",
            "address_2": "SUITE 305",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462667",
            "telephone_number": "281-218-8181",
            "fax_number": "281-218-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W PASADENA BLVD",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775365756",
            "telephone_number": "281-542-9923",
            "fax_number": "281-542-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CLINICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-218-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearwater Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.