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NPI Code Detail

MEDICARE: ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND

MEDICARE: ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659559573
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
Provider Business Mailing Address
First Line : 3100 MAIN ST
Second Line : SUITE 569
City : HOUSTON
State : TX
Zip : 77002-9312
Country : US
Telephone Number : 281-737-7000
Fax Number : 832-355-7268
Provider Business Practice Location Address
First Line : 1317 LAKE POINTE PKWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3997
Country : US
Telephone Number : 281-637-7000
Fax Number : 832-355-7268
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. BRYAN J HARGIS
Credential :
Telephone Number : 281-637-7605
Provider Enumeration Date : 02/01/2008
Last Update Date : 01/06/2015

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Directions to “ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND ” Practice Location

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