Organization
CLEAR CREEK EMERGENCY ROOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORTENCIA LUNA MD (MANAGER)
(832) 978-6353
Entity
Organization
Contact information
Practice address
3725 E LEAGUE CITY PARKWAY, SUITE 150, LEAGUE CITY, TX 77573
(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
207P00000X
Emergency Medicine Physician
Primary
160352
TX
261QE0002X
Emergency Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144294505
THANG NGUYEN
TX
01
—
1245755933
CLEAR CREEK EMERGENCY ROOM LLC
TX
01
—
1295757060
SUZANNA CRUZ
TX
01
—
160352
DEPARTMENT OF STATE HEALTH SERVICES REGULATORY LICENSING UNIT
TX
01
—
1669457404
BLAKE CHAMBERLAIN
TX
Enumeration date
08/03/2017
Last updated
07/21/2024
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