Clear Lake Neuro Diagnostic Clinic Pllc

NPI #1972642940 in Webster, Texas

Provider Information

NPI Number: 1972642940
Entity Type: Organization
Organization Name: Clear Lake Neuro Diagnostic Clinic Pllc
Primary Specialty: Specialist
Enumeration Date: Feb 6, 2007
Last Updated: Mar 4, 2011

Practice Location

Address: 380 E MEDICAL CENTER BLVD
City: Webster
State: Texas
ZIP Code: 77598-4321
Phone: (281) 332-6949

Authorized Official

Name: WILLA MARIE LEBAS, M.D.
Title: OFFICER
Phone: (281) 332-6949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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