Provider Demographics
NPI:1518401116
Name:ST. LUKE'S COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:ST. LUKE'S COMMUNITY HEALTH SERVICES
Other - Org Name:CHI ST. LUKE'S HEALTH - SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-266-3944
Mailing Address - Street 1:10710 KUYKENDAHL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2695
Mailing Address - Country:US
Mailing Address - Phone:281-348-4008
Mailing Address - Fax:
Practice Address - Street 1:10710 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77381-2695
Practice Address - Country:US
Practice Address - Phone:281-348-4008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130132261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicare Oscar/Certification