Provider Demographics
NPI:1134433642
Name:RIVER OAKS EMERGENCY PHYSICIAN
Entity type:Organization
Organization Name:RIVER OAKS EMERGENCY PHYSICIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
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:713-526-2320
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:713-526-2322
Practice Address - Street 1:2320 S SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-7014
Practice Address - Country:US
Practice Address - Phone:713-526-2320
Practice Address - Fax:713-526-2322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
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
TX1720009590OtherWESLEY NAHM
TX1194839530OtherJAIME MIRAVITE
TX1235364167OtherALLISON DAUM
TX1285688093OtherANGELA LEWIS-TRAYLOR
TX1295849727OtherVICTORIA ALEXANDER
TX1417180324OtherAKBAR AMIRAFSHARI
TX1417903956OtherHORTENCIA LUNA