Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clear Lake Pediatric Clinic, PA

Organization Pediatrics Physician · NPI 1619183936

Clear Lake Pediatric Clinic, PA is a Pediatrics Physician in Webster, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Professional Park Dr
Webster, TX 77598-4127
Phone: (281) 332-3503
Fax: (201) 849-7650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1619183936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Cook — Business Manager · (281) 332-4830
NPI enumeratedMay 15, 2007
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address16 Professional Park Dr, Webster, TX 77598-4127

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