CLEAR LAKE ENT, P.A
NPI 1629267752
Specialist in Houston, TX

Q: What is Clear Lake Ent, P.A's NPI number?

The NPI number for Clear Lake Ent, P.A is 1629267752. It was assigned to this organization in the NPPES registry on October 15, 2007.

Q: What is Clear Lake Ent, P.A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 15, 2007

18100 SAINT JOHN DR, SUITE 240, HOUSTON, TX 77058(281) 335-7755(281) 335-7766 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clear Lake Ent, P.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR LAKE ENT, P.A (NPI 1629267752) is a healthcare organization registered as a specialist in Houston, Texas and active in the NPI registry since October 2007. The organization lists Alfredo Jimenez, Owner, as its authorized official.

NPPES Registry Identity

NPI1629267752

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCLEAR LAKE ENT, P.A

Location Address18100 SAINT JOHN DR, SUITE 240Houston, TX 77058-3631

Mailing AddressPo Box 580451, Lock Box 157102Houston, TX 77258-0451 · (281) 335-7755 · Fax (281) 335-7766

Phone(281) 335-7755

Fax(281) 335-7766

Organization SubpartNo

Authorized OfficialAlfredo JimenezOwner · (281) 335-7755

Enumeration DateOctober 15, 2007

✔ NPI 1629267752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · J4653

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

18100 SAINT JOHN DR, Houston, TX 77058

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Other Identifiers 6

Other0029KVTX · Mcare

OtherF68110TX · Upin

Other10023864TX · Amerigroup

Other8K6340TX · Bcbs

Medicare UPIN00194WTX

Medicare PIN8B3757TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHY POERNER SUPAK ATC, LAT

Specialist/Technologist (Athletic Trainer)

18100 SAINT JOHN DR, SUITE 100
HOUSTON, TX 77058

Harris County (281) 333-8806

CLEAR LAKE FACIAL AESTHETIC & RECONSTRUCTIVE SURGERY

Otolaryngology (Facial Plastic Surgery)

18100 SAINT JOHN DR, SUITE 240
HOUSTON, TX 77058

Harris County (832) 720-5477

MS. JENNA LEE TUBBS ATC, LAT

Specialist/Technologist (Athletic Trainer)

18100 SAINT JOHN DR, SUITE 100
HOUSTON, TX 77058

Harris County (281) 333-8806

BAY AREA HAND INSTITUTE

Plastic Surgery (Surgery of the Hand)

18100 SAINT JOHN DR, SUITE 220
HOUSTON, TX 77058

Harris County (281) 335-0003

MARIA CARMEN VISUS MD

Internal Medicine

18100 SAINT JOHN DR, 280
HOUSTON, TX 77058

Harris County (281) 333-9747

MARGARITA MALLARI-BRUMLOW

Physical Therapist

18100 SAINT JOHN DR
HOUSTON, TX 77058

Harris County (281) 333-8806

MS. JENNA LAWLESS MPT

Physical Therapist

18100 SAINT JOHN DR
HOUSTON, TX 77058

Harris County (281) 333-8806

ALFRED TENNYSON MITCHELL M.D.

Plastic Surgery (Surgery of the Hand)

18100 SAINT JOHN DR, SUITE 220
HOUSTON, TX 77058

Harris County (281) 335-0003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Lake Ent, P.A's NPI number?

The NPI number for Clear Lake Ent, P.A is 1629267752. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is Clear Lake Ent, P.A located?

Clear Lake Ent, P.A is located at 18100 Saint John Dr Suite 240, Houston, TX 77058. The listed phone number is (281) 335-7755.

What is Clear Lake Ent, P.A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Clear Lake Ent, P.A was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.