Provider Demographics
NPI:1841690740
Name:CHI ST LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER
Entity type:Organization
Organization Name:CHI ST LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:REJANTE
Authorized Official - Suffix:
Authorized Official - Credentials:FNPC
Authorized Official - Phone:832-355-4190
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77001-0112
Mailing Address - Country:US
Mailing Address - Phone:832-355-4190
Mailing Address - Fax:
Practice Address - Street 1:6720 BERTNER STREET
Practice Address - Street 2:MC 4-278 BOX 112
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-355-4190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX559930282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital