NPI Code Details Logo

NPI 1538733480

NPI 1538733480 : HEIGHTS ER LLC : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1538733480
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEIGHTS ER LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/16/2021
-----------------------------------------------------
    Last Update Date     |    06/12/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1324 N SHEPHERD DR # 100 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77008-3752
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-526-2320
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2202 DEL MONTE DDR 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77019-7014
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-978-6353
-----------------------------------------------------
    Fax                  |    713-526-2322
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    AUTHORIZED OFFICIAL
-----------------------------------------------------
    Name                 |     HORTENCIA  LUNA-GONZALES 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    832-978-6353
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QE0002X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.