| Clear Lake Family Physicians, Llp | |
|
14903 El Camino Real Houston TX 77062-2603 | |
| (281) 486-7900 | |
| (281) 286-8110 |
| Full Name | Clear Lake Family Physicians, Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 14903 El Camino Real, Houston, Texas |
| Authorized Official Name and Position | Joe E Pouzar (OWNER) |
| Authorized Official Contact | 2814867900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Family Physicians, Llp 14903 El Camino Real Houston TX 77062-2603 Ph: (281) 486-7900 | Clear Lake Family Physicians, Llp 14903 El Camino Real Houston TX 77062-2603 Ph: (281) 486-7900 |
| NPI Number | 1821054826 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 09/15/2014 |
| Medicare PECOS PAC ID | 1658272372 |
|---|---|
| Medicare Enrollment ID | O20040115001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821054826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Adrienne Mucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407957913 PECOS PAC ID: 0446234181 Enrollment ID: I20040617001614 |
| Provider Name | Patricia B Ewert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386713139 PECOS PAC ID: 1153418322 Enrollment ID: I20071105000326 |
| Provider Name | Frank J Ponce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497956734 PECOS PAC ID: 3678629409 Enrollment ID: I20090921000447 |
| Provider Name | Linda C Pouzar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831106798 PECOS PAC ID: 1052596806 Enrollment ID: I20110421000306 |
| Provider Name | Joe E Pouzar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801803127 PECOS PAC ID: 7416854831 Enrollment ID: I20110823000133 |
| Provider Name | R Sam Lingamfelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225044084 PECOS PAC ID: 5395915714 Enrollment ID: I20110823000168 |
| Provider Name | Thriveni R Vellore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225003270 PECOS PAC ID: 1052388436 Enrollment ID: I20130724000506 |
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