Pediatric Specialists of Clearlake PLLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PEDIATRIC SPECIALISTS OF CLEARLAKE PLLC

Practice address

450 Medical Center Blvd
Stuie 600
Webster, TX 77598-4234

Phone

(281) 554-4300

Fax

(281) 554-4355

NPI assigned

Jun 17, 2008

Last updated

Apr 1, 2009By the provider in NPPES

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) 852-1550

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jose A. Quinones, MD

  • Pediatric Cardiology Physician
  • Webster, TX
  • NPI 1689611378
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1770743304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MEDICAL CENTER BLVD",
            "address_2": "STUIE 600",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-554-4300",
            "fax_number": "281-554-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MEDICAL CENTER BLVD",
            "address_2": "STUIE 600",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-554-4300",
            "fax_number": "281-554-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALISTS OF CLEARLAKE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-852-1550"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196271401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammi Renee Peck-Samman, D.O.
• Pediatric Cardiology Care PA
• Pediatric Consultants
• Pediatric Consultants, P.a
• Pediatric Critical Care of Clear Lake PLLC
• Pedistat L.P.
• Peggy H. Taylor, M.D., P.a.
• Nancy Perachio, PH.D.
• Luz Angela Peralta Hernandez, APRN
• Lynell Aurora Perez Puckly, M.D.

• Pediatric Cardiology Physician in Webster, TX
• Providers in Webster, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.