Clear Lake Wound Care PLLC
Family Medicine in Webster, TX. Organization (NPI-2).
NPI number1669998415
StatusActive
Last updated in NPPESMay 4, 2025
Details
- NPI
- 1669998415
- Entity type
- Organization (NPI-2)
- Legal business name
- Clear Lake Wound Care PLLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2017
- Certification date
- May 4, 2025
- Last updated
- May 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
600 N Kobayashi Ste 212Webster, TX 77598-4841
Phone 281-816-3091 · Fax 832-905-3942
Mailing address
Po Box 58378Webster, TX 77598-8378
Phone 281-316-3091 · Fax 832-905-3942
Authorized official
Mohammad Baba
Owner
2818163091
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