Previty Surgical Clear Lake, Pllc

NPI #1821471780 in Webster, Texas

Provider Information

NPI Number: 1821471780
Entity Type: Organization
Organization Name: Previty Surgical Clear Lake, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PREVITY SURGICAL, PLLC
Primary Specialty: Specialist
Enumeration Date: Jul 9, 2015
Last Updated: Jul 9, 2015

Practice Location

Address: 250 BLOSSOM ST
Address 2: SUITE 285
City: Webster
State: Texas
ZIP Code: 77598-4204
Phone: (281) 487-3313

Authorized Official

Name: DR. GARRETT KEITH PEEL, M.D.
Title: OWNER
Phone: (409) 835-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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