| Clinica Medica Hispana St Lukes | |
|
2626 Spencer Hwy Ste 130 Pasadena TX 77504-1021 | |
| (281) 974-2102 | |
| (281) 715-5300 |
| Full Name | Clinica Medica Hispana St Lukes |
|---|---|
| Speciality | Clinic/Center |
| Location | 2626 Spencer Hwy Ste 130, Pasadena, Texas |
| Authorized Official Name and Position | Julio Navarro (C.E.O) |
| Authorized Official Contact | 8329203033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Hispana St Lukes 2626 Spencer Hwy Ste 130 Pasadena TX 77504-1021 Ph: (281) 974-2102 | Clinica Medica Hispana St Lukes 2626 Spencer Hwy Ste 130 Pasadena TX 77504-1021 Ph: (281) 974-2102 |
| NPI Number | 1043809775 |
|---|---|
| Provider Enumeration Date | 01/17/2021 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 9830506351 |
|---|---|
| Medicare Enrollment ID | O20210330001889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043809775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Beatriz Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134721004 PECOS PAC ID: 2769894468 Enrollment ID: I20210119001150 |
| Provider Name | Jacqueline T Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619492089 PECOS PAC ID: 3577978162 Enrollment ID: I20210211002681 |
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