Organization Active NPI

Clear Lake Vascular Access Associates Series, PLLC

  • Specialist
  • Webster, TX
National Provider Identifier
1679946677
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CLEAR LAKE VASCULAR ACCESS ASSOCIATES SERIES, PLLC
Practice address
218 W Nasa Rd 1
Suite E
Webster, TX 77598-5208
Phone
(832) 706-3811
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Rupal S Patel, M.D.
Title
Owner
Phone
(713) 520-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

218 W Nasa Rd 1
Suite E
Webster, TX 77598-5208

Mailing address

218 W Nasa Rd 1
Suite E
Webster, TX 77598-5208
Phone (281) 560-3200

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.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1679946677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W NASA RD 1",
            "address_2": "SUITE E",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985208",
            "telephone_number": "281-560-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W NASA RD 1",
            "address_2": "SUITE E",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985208",
            "telephone_number": "832-706-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE VASCULAR ACCESS ASSOCIATES SERIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-520-6875",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.