| Endocrinology Clinic At Clear Lake Specialties Pllc | |
|
600 N Kobayashi Ste 312 Webster TX 77598-4841 | |
| (281) 724-8333 | |
| (281) 724-1861 |
| Full Name | Endocrinology Clinic At Clear Lake Specialties Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 N Kobayashi Ste 312, Webster, Texas |
| Authorized Official Name and Position | Mohammad J Baba (OWNER) |
| Authorized Official Contact | 2817248333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Clinic At Clear Lake Specialties Pllc Po Box 57336 Webster TX 77598-7336 Ph: (281) 724-8333 | Endocrinology Clinic At Clear Lake Specialties Pllc 600 N Kobayashi Ste 312 Webster TX 77598-4841 Ph: (281) 724-8333 |
| NPI Number | 1578032363 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 04/18/2019 |
| Medicare PECOS PAC ID | 6608114517 |
|---|---|
| Medicare Enrollment ID | O20190218002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578032363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Charlie C Chang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417996109 PECOS PAC ID: 3375554116 Enrollment ID: I20060509000184 |
| Provider Name | Muhammad Omar Salim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831519511 PECOS PAC ID: 6608109376 Enrollment ID: I20190612000434 |
| Provider Name | Anurag Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790334480 PECOS PAC ID: 7214268408 Enrollment ID: I20191021001095 |
| Provider Name | Shelia Michelle Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528517794 PECOS PAC ID: 4183037211 Enrollment ID: I20210111002379 |
| Provider Name | Souad M Enakuaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606619 PECOS PAC ID: 1850609579 Enrollment ID: I20210125000384 |
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