Clear Lake Integrative Medicine

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLEAR LAKE INTEGRATIVE MEDICINE

Practice address

1335 Regents Park Dr Ste 110
Houston, TX 77058-2541

Phone

(713) 425-2524

Fax

(281) 783-2318

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Rachael Hendrikz

Title

Operations Manager

Phone

(713) 425-2524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Earl Franklin Hendrikz, D.C., C.C.S.P.

  • Chiropractor
  • Houston, TX
  • NPI 1144520735

  TX

  Medicare reassignment
• Angel Perez Jr., MD

  • Internal Medicine Physician
  • Channelview, TX
  • NPI 1477541662
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1972134229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 REGENTS PARK DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582541",
            "telephone_number": "713-425-2524",
            "fax_number": "281-783-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 REGENTS PARK DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582541",
            "telephone_number": "713-425-2524",
            "fax_number": "281-783-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "HENDRIKZ",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "713-425-2524",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Dialysis Center
• Clear Lake ENT, P.a
• Clear Lake Eye Center LLP
• Clear Lake Facial Aesthetic & Reconstructive Surgery
• Clear Lake Family Physicians, LLP
• Clear Lake Modern Dentistry, PC
• Clear Lake Neurology PLLC
• Clear Lake Pathology Partners LTD
• Clear Lake Psychological Services
• Clear Lake Pulmonary & Sleep Clinic PLLC

• All providers in Houston, TX
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.