| Organization Name: | CL MEDICAL ASSOCIATES II INC |
| NPI Number: | 1043649452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNIE MAHARAJ (DIRECTOR OF PATIENT ACCOUNTS) |
| Mailing Address: | 20 Professional Park Dr Webster |
| State: | TX US |
| Postal Code: | 775984127 |
| Phone Number: | 5613616608 |
| Fax Number: | 5613619857 |
| NPI Enumeration Date: | 11/06/2013 |
| NPI Last Update Date: | 11/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |