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General NPI Number Information
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NPI Number | 1043809775
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S HEALTH CENTER LLC
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Dates
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Enumeration Date | 01/17/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2626 SPENCER HWY STE 130
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City | PASADENA
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State | TX
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Zip | 77504-1021
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Country | US
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Telephone | 281-974-2102
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Fax | 281-715-5300
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Provider Business Mailing Address
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Address Line | 2626 SPENCER HWY STE 130
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City | PASADENA
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State | TX
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Zip | 77504-1021
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Country | US
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Telephone | 281-974-2102
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Fax | 281-715-5300
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Authorized Official
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Title or Position | C.E.O
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Name | JULIO NAVARRO
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Credential |
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Telephone | 832-920-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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