NPI age
7 years
Enumerated 2018-08-01
● Active Type 2 · Organization
Providence Clearlake Specialty Hospital Llc
Providence Clearlake Specialty Hospital Llc is 1 of 83 special hospital organizations in Texas.
Primary specialty
Special Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tijerina
Credentialing
Last NPPES update
2018-08-01
Source: monthly bulk 2026-05
How this organization compares
Across 83 active special hospital providers in Texas.
NPI age
7 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1351 Clearlake City Blvd
Houston, TX 77062
Mailing address
20320 Northwest Fwy Ste 900
Jersey Village, TX 770655620
Authorized official
Arin Tijerina
Credentialing
📞 2814537232
Specialties
-
Special Hospital PrimaryA designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CLEARLAKE SPECIALTY HOSPITAL
-
CLEARLAKE SPECIALTY HOSPITAL
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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