Clearlake Kids Psychiatry
Clearlake Kids Psychiatry is a Physician Assistant in Houston, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
17226 Mercury Dr Ste 100Houston, TX 77058-2792
Phone: (281) 975-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA00473 (TX) |
|---|
Record details
| NPI number | 1447708128 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeanne Russell — Owner · (903) 918-3294 |
| NPI enumerated | September 12, 2016 |
| Last updated in NPPES | September 5, 2017 |
| Mailing address | 17226 Mercury Dr, Suite 100, Houston, TX 77058-2792 |
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