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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