Provider Demographics
NPI:1801390380
Name:HARBOR EMERGENCY PHYSICIANS PA
Entity Type:Organization
Organization Name:HARBOR EMERGENCY PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HORTENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-978-6353
Mailing Address - Street 1:2320 S SHEPHERD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-7014
Mailing Address - Country:US
Mailing Address - Phone:713-526-2320
Mailing Address - Fax:
Practice Address - Street 1:3725 E LEAGUE CITY PKWY
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-7373
Practice Address - Country:US
Practice Address - Phone:281-549-7032
Practice Address - Fax:281-549-7036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1295757060OtherSUZANNA CRUZ
TX1669457404OtherBLAKE CHAMBERLAIN
TXVOtherTHANG NGUYEN
TX1720009590OtherWESLEY NAHM
TX1801390380OtherHARBOR EMERGENCY PHYSICIANS PA
TX1972583110OtherDARRYN MYERS