Previty Surgical Clear Lake, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREVITY SURGICAL CLEAR LAKE, PLLC

Practice address

250 Blossom St
Suite 285
Webster, TX 77598-4204

Phone

(281) 487-3313

Fax

(281) 487-3316

NPI assigned

Jul 9, 2015

Organization subpart

Yes

Parent organization

PREVITY SURGICAL, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Garrett Keith Peel, M.D.

Title

Owner

Phone

(409) 835-9500

Specialties & licenses 1

Addresses

Other names 1

• Previty Clinic for Surgical Care Doing business as

Part of

Previty Surgical PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Previty Surgical, PLLC

  • Surgery Physician
  • Beaumont, TX
  • NPI 1043441694
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Cardin Hatmaker, D.C., NP-C

  • Family Nurse Practitioner
  • Galveston, TX
  • NPI 1366615866
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1821471780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-835-9500",
            "fax_number": "409-835-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST",
            "address_2": "SUITE 285",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984204",
            "telephone_number": "281-487-3313",
            "fax_number": "281-487-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVITY SURGICAL CLEAR LAKE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVITY SURGICAL, PLLC",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-835-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Previty Clinic for Surgical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Webster, TX
• Providers in Webster, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.