Provider Demographics
NPI:1043809775
Name:ST. LUKE'S HEALTH CENTER LLC
Entity type:Organization
Organization Name:ST. LUKE'S HEALTH CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-920-3033
Mailing Address - Street 1:2626 SPENCER HWY STE 130
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1021
Mailing Address - Country:US
Mailing Address - Phone:281-974-2102
Mailing Address - Fax:281-715-5300
Practice Address - Street 1:2626 SPENCER HWY STE 130
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1021
Practice Address - Country:US
Practice Address - Phone:281-974-2102
Practice Address - Fax:281-715-5300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-17
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty