Clear Lake Primary Care Pllc | |
600 N Kobayashi Ste 213 Webster TX 77598-4841 | |
(281) 724-1862 | |
(281) 724-1859 |
Full Name | Clear Lake Primary Care Pllc |
---|---|
Speciality | Family Medicine |
Location | 600 N Kobayashi Ste 213, Webster, Texas |
Authorized Official Name and Position | Mohammad J Baba (PRESIDENT) |
Authorized Official Contact | 2817241860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clear Lake Primary Care Pllc Po Box 57845 Webster TX 77598-7845 Ph: (281) 724-1862 | Clear Lake Primary Care Pllc 600 N Kobayashi Ste 213 Webster TX 77598-4841 Ph: (281) 724-1862 |
NPI Number | 1861743247 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 06/24/2024 |
Medicare PECOS PAC ID | 6406001627 |
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Medicare Enrollment ID | O20130219000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861743247 | NPI | - | NPPES |
Provider Name | Alvaro F Zamora |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285736900 PECOS PAC ID: 2567439730 Enrollment ID: I20040916000186 |
Provider Name | Carlos V Bernal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114080173 PECOS PAC ID: 8729049333 Enrollment ID: I20041026000524 |
Provider Name | Claudia H Makhoul |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619028198 PECOS PAC ID: 4284731399 Enrollment ID: I20081205000395 |
Provider Name | Abdul R Moosa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871555052 PECOS PAC ID: 5193893261 Enrollment ID: I20090602000636 |
Provider Name | Adnan M Rafiq |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831352269 PECOS PAC ID: 9234282872 Enrollment ID: I20090730000047 |
Provider Name | Aaliya Amer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518999093 PECOS PAC ID: 7416991286 Enrollment ID: I20091020000091 |
Provider Name | Isra M Amer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356469142 PECOS PAC ID: 3678762713 Enrollment ID: I20110105000812 |
Provider Name | Javier A Rios |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1619171295 PECOS PAC ID: 0547459968 Enrollment ID: I20110114000911 |
Provider Name | Tasnim Topiwala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790945426 PECOS PAC ID: 4688733157 Enrollment ID: I20120820001142 |
Provider Name | Tammi R Peck Samman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639420003 PECOS PAC ID: 0042464489 Enrollment ID: I20130212000101 |
Provider Name | Seema Jabeen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659537140 PECOS PAC ID: 0446318356 Enrollment ID: I20130726000121 |
Provider Name | Faiza Malik |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497061303 PECOS PAC ID: 0749421774 Enrollment ID: I20140611001796 |
Provider Name | Parul Garg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609155001 PECOS PAC ID: 8628297892 Enrollment ID: I20140920000185 |
Provider Name | Deborah Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124466511 PECOS PAC ID: 8628391836 Enrollment ID: I20141219000384 |
Provider Name | Dipal A Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841687548 PECOS PAC ID: 5294046546 Enrollment ID: I20150612001899 |
Provider Name | Israt Jahan Gazi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477934461 PECOS PAC ID: 5799040242 Enrollment ID: I20180604001253 |
Provider Name | Nedal Musa Adi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093102477 PECOS PAC ID: 5991097024 Enrollment ID: I20180814000454 |
Provider Name | Khaled Magdy Attia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285162339 PECOS PAC ID: 8921378332 Enrollment ID: I20190315000093 |
Provider Name | Peter N Starr |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992159347 PECOS PAC ID: 1557794864 Enrollment ID: I20191127000237 |
Provider Name | Sanjeeda Jabeen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679936140 PECOS PAC ID: 9739512062 Enrollment ID: I20191127001081 |
Provider Name | Krislyn Boswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255899399 PECOS PAC ID: 7517397540 Enrollment ID: I20200415001709 |
Provider Name | Maysoon Hamed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881984235 PECOS PAC ID: 0446472922 Enrollment ID: I20200827000405 |
Provider Name | Nisarg Vinu Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235592809 PECOS PAC ID: 8426345224 Enrollment ID: I20210507001619 |
Provider Name | Motaz B Ibrahim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174028039 PECOS PAC ID: 2466855598 Enrollment ID: I20210727000813 |
Provider Name | Jamal Mohammed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609364124 PECOS PAC ID: 1153679220 Enrollment ID: I20210827000426 |
Provider Name | Ruth Elsa Stephen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740837665 PECOS PAC ID: 0042603268 Enrollment ID: I20220211000984 |
Provider Name | Faiza Wajid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326359126 PECOS PAC ID: 1254568900 Enrollment ID: I20220920000973 |
Provider Name | Tanvir Ahmed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386271278 PECOS PAC ID: 7618330549 Enrollment ID: I20230825000620 |
Provider Name | Jisha Mathew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205478724 PECOS PAC ID: 6709288723 Enrollment ID: I20230905003655 |
Provider Name | Nandini Kolla Ganga |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447571856 PECOS PAC ID: 9234387630 Enrollment ID: I20231109000700 |
Provider Name | Nadin Farid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629832761 PECOS PAC ID: 7810337193 Enrollment ID: I20240503000797 |
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