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ST. LUKE'S HEALTH CENTER LLC NPI 1043809775


NPI Information

NPI: 1043809775
Provider Name: ST. LUKE'S HEALTH CENTER LLC

Doing Business As: CLINICA MEDICA HISPANA ST LUKE'S

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2211266

Address:
2626 SPENCER HWY STE 130
PASADENA, TX
ZIP 77504
Phone: (281) 974-2102
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ST. LUKE'S HEALTH CENTER LLC is a primary care clinic center in Pasadena, TX. ST. LUKE'S HEALTH CENTER LLC NPI is 1043809775. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinica Medica Hispana St Luke's.

The provider's business location address is:

2626 SPENCER HWY STE 130
PASADENA, TX
ZIP 77504-021
Phone: (281) 974-2102
Fax: (281) 715-5300

The provider's authorized official is Julio Navarro .
The authorized official title is C.e.o and has the following contact phone number (281) 974-2102.

The CLIA number assigned to this NPI record is 45D2211266 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2021 and was last updated on 6/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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