Clear Lake Pediatric Clinic, P.A.
NPI 1619183936ActiveOrganization· Pediatrics· Webster, TX
Pediatrics in Webster, Texas, registered in NPPES in May 2007. The authorized official on file is Michelle M. Cook, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619183936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2007 |
| Last updated in NPPES | Aug 19, 2025 |
| Certified by provider | Aug 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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