Clear Lake Integrated Health Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CLEAR LAKE INTEGRATED HEALTH CARE

Practice address

7 Professional Park Dr
Webster, TX 77598-4123

Phone

(281) 338-1815

Fax

(281) 316-2539

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2010By 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

Pushpa Y Reddy, MDNPI 1780766030

Title

President

Phone

(281) 338-1815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Pushpa Y Reddy, MD

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1780766030
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1831271188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15514 CONIFER BAY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77059",
            "telephone_number": "281-338-1815",
            "fax_number": "281-316-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123",
            "telephone_number": "281-338-1815",
            "fax_number": "281-316-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE INTEGRATED HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-338-1815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Foot & Ankle Specialist PA
• Clear Lake Healthcare (South Houston Treatment Center LLC d/b/a Clear Lake Healthcare)
• Clear Lake Hospitalists PA
• Clear Lake Inpatient Care PA
• Clear Lake Institute for Rehabilitation LLC (PAM Rehabilitation Hospital of Clear Lake)
• Clear Lake Internal Medicine Care PA
• Clear Lake Laboratory LLC
• Clear Lake Neuro Diagnostic Clinic PLLC
• Clear Lake OBGYN, PLLC
• Clear Lake Oncology PLLC

• Multi-Specialty Clinic/Center in Webster, TX
• Providers in Webster, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.