Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Clear Lake Pediatric Clinic, PA

Organization Pediatrics Physician · NPI 1619183936

Clear Lake Pediatric Clinic, PA provides Pediatrics Physician services in Webster, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Professional Park Dr
Webster, TX 77598-4127
Phone: (281) 332-3503
Fax: (201) 849-7650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1619183936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Cook — Business Manager · (281) 332-4830
NPI enumeratedMay 15, 2007
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address16 Professional Park Dr, Webster, TX 77598-4127

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