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Organization
VILLAGE EMERGENCY ROOM LLC
Active
Organization
VILLAGE EMERGENCY ROOM LLC
Active
Other names
Village Emergency Room LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HORTENCIA LUNA (MANAGER)
(832) 978-6353
Entity
Organization
Contact information
Practice address
17030 NW FWY, JERSEY VILLAGE, TX 77040-1108
(713) 526-2320
Mailing address
2320 S SHEPHERD DR, HOUSTON, TX 77019-7014
(713) 526-2320
(713) 526-2322
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134783913
VILLAGE EMERGENCY ROOM LLC
TX
Enumeration date
04/26/2019
Last updated
05/01/2023
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