NPI age
18 years
Enumerated 2007-10-15
● Active Type 2 · Organization
Clear Lake Ent, P.A
Clear Lake Ent, P.A is 1 of 4038 specialist organizations in Texas.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jimenez
Owner
Last NPPES update
2007-10-15
Source: monthly bulk 2026-05
How this organization compares
Across 4038 active specialist providers in Texas.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
18100 Saint John Dr, Suite 240
Houston, TX 770583631
Mailing address
Po Box 580451, Lock Box 157102
Houston, TX 772580451
Authorized official
Alfredo Jimenez, M.D.
Owner
📞 2813357755
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Richard Ehlers, M.D. Surgery NPI 1821098526
- Jenna Lawless, MPT Physical Therapist NPI 1730215583
- Margarita Mallari-Brumlow Physical Therapist NPI 1376679118
- Alfred Mitchell, M.D. Plastic Surgery NPI 1760605539
- Cathy Supak, ATC, LAT Specialist/Technologist NPI 1164570263
- Jenna Tubbs, ATC, LAT Specialist/Technologist NPI 1245447531
- Maria Visus, MD Internal Medicine NPI 1366410318
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8K6340 | BCBS |
| 01 (TX) | 0029KV | MCARE |
| 01 (TX) | F68110 | UPIN |
| 01 (TX) | 10023864 | AMERIGROUP |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.