| Clear Lake Wound Care PLLC | |
|
600 N Kobayashi Ste 212 Webster TX 77598-4841 | |
| (281) 816-3091 | |
| (832) 905-3942 |
| Full Name | Clear Lake Wound Care PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 600 N Kobayashi Ste 212, Webster, Texas |
| Authorized Official Name and Position | Mohammad Baba (OWNER) |
| Authorized Official Contact | 2818163091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Wound Care PLLC Po Box 58378 Webster TX 77598-8378 Ph: (281) 316-3091 | Clear Lake Wound Care PLLC 600 N Kobayashi Ste 212 Webster TX 77598-4841 Ph: (281) 816-3091 |
| NPI Number | 1669998415 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 05/04/2025 |
| Certification Date | 05/04/2025 |
| Medicare PECOS PAC ID | 1759656788 |
|---|---|
| Medicare Enrollment ID | O20171002001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669998415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Abdul R Moosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871555052 PECOS PAC ID: 5193893261 Enrollment ID: I20090602000636 |
| Provider Name | Salma K Akbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215110556 PECOS PAC ID: 9931267572 Enrollment ID: I20091204000511 |
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