Organization
ST JOHNS REGIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA SILVA (MANAGER)
(713) 838-2273
Entity
Organization
Contact information
Practice address
9630 HOLLOCK ST, HOUSTON, TX 77075-1806
(713) 838-2273
(713) 838-7088
Mailing address
9630 HOLLOCK ST, HOUSTON, TX 77075-1806
(713) 838-2273
(713) 838-7088
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000AMB676
BCBS PROVIDER NUMBER
TX
05
—
159236201
—
TX
Enumeration date
10/14/2005
Last updated
05/07/2008
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