CLEAR LAKE SURGERY CENTER, PLLC
Ambulatory Health at Clear Lake City Blvd, Houston, TX

License number
Texas J7218
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MS. LAURA C STAFFA P.A.
Title: PRACTICE ADMINISTRATOR
Phone: (281) 204-2017
Address
Address
1616 Clear Lake City Blvd STE 102A, Houston, TX 77062
National Provider ID: 1508003286
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLEAR LAKE SURGERY CENTER, PLLC

1616 Clear Lk City Blvd STE 102, Houston, TX 77062

Industry:
Medical Doctor's Office
Doing business as:
Clear Lake Surgery Center, Pllc
Registration:
Feb 1, 2011
State ID:
0801378244
Business type:
Domestic Limited Liability Company (LLC)
PRESIDENT, President:
Sam Sukkar (PRESIDENT, President), 2410 Bellefontaine St, Houston, TX 77030
Agent:
Marc H Schneider,15150 Middlebrook Dr, Houston, TX 77058 (Physical)
TIN:
32043532723

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