Organization Active NPI

Clear Lake Urology

  • Urology Physician
  • Webster, TX
National Provider Identifier
1851420616
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
J1269 Issued in TX
Legal business name
CLEAR LAKE UROLOGY
Practice address
350 N Texas Ave
Suite A2
Webster, TX 77598-4959
Phone
(281) 316-3659
Fax
(281) 335-4529
NPI assigned
Mar 5, 2007
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
James C Humphries, MD
Title
President
Phone
(281) 316-3659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X J1269 TX Primary

Addresses

Primary practice location

350 N Texas Ave
Suite A2
Webster, TX 77598-4959

Mailing address

350 N Texas Ave
Suite A2
Webster, TX 77598-4959
Phone (281) 316-3659

National Provider Directory

National Provider Directory

Locations

18100 Hospital Blvd
Ste 380
Houston, TX 77058
Phone (713) 333-5388

350 N Texas Ave
Ste A2
Webster, TX 77598
Phone (281) 316-3659

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1851420616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N TEXAS AVE",
            "address_2": "SUITE A2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984959",
            "telephone_number": "281-316-3659",
            "fax_number": "281-335-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N TEXAS AVE",
            "address_2": "SUITE A2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984959",
            "telephone_number": "281-316-3659",
            "fax_number": "281-335-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-316-3659",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "J1269",
            "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 Mar 12, 2008; 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.