Organization Active NPI

Clarewood Clinic PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1841710647
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLAREWOOD CLINIC PA
Practice address
7601 W Sam Houston Pkwy S Ste 400
Houston, TX 77072-5260
Phone
(713) 981-6588
Fax
(713) 981-8978
NPI assigned
Jun 22, 2017
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Mr. Paul HoffmanNPI 1144249509
Title
Director
Phone
(832) 798-3676

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7601 W Sam Houston Pkwy S Ste 400
Houston, TX 77072-5260

Mailing address

7601 W Sam Houston Pkwy S Ste 400
Houston, TX 77072-5260
Phone (713) 981-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170804000399 TX Part B Supplier - Clinic/Group Practice 8729359005 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2137302Clarewood Clinic PA7601 W Sam Houston Pkwy South, Ste 400, Houston, TX 77072Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

7601 W Sam Houston Pkwy S
Ste 400
Houston, TX 77072
Phone (713) 981-6588

Practitioners & affiliated clinicians

Practitioners 3

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": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1841710647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 W SAM HOUSTON PKWY S STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725260",
            "telephone_number": "713-981-6588",
            "fax_number": "713-981-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 W SAM HOUSTON PKWY S STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725260",
            "telephone_number": "713-981-6588",
            "fax_number": "713-981-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREWOOD CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-798-3676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.