Clear Creek Emergency Room LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

160352 Issued in TX

Legal business name

CLEAR CREEK EMERGENCY ROOM LLC

Practice address

3725 E League City Parkway, Suite 150
League City, TX 77573

Phone

(713) 526-2320

NPI assigned

Aug 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hortencia Luna, MD

Title

Manager

Phone

(832) 978-6353

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670240

Legal name

CLEAR CREEK EMERGENCY ROOM LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 28, 2020

Last certification

Apr 28, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

3725 E. League City Pkwy
League City, TX 77573

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hortencia Luna-Gonzales, M.D.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1417903956
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721520000000",
    "number": "1245755933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 S SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197014",
            "telephone_number": "713-526-2320",
            "fax_number": "713-526-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 E LEAGUE CITY PARKWAY, SUITE 150",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "713-526-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK EMERGENCY ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "HORTENCIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-978-6353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "160352",
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUZANNA CRUZ",
            "identifier": "1295757060",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR CREEK EMERGENCY ROOM LLC",
            "identifier": "1245755933",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLAKE CHAMBERLAIN",
            "identifier": "1669457404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THANG NGUYEN",
            "identifier": "1144294505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE HEALTH SERVICES REGULATORY LICENSING UNIT",
            "identifier": "160352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rae Clark, CPNP-PC
• Natalie Elizabeth Clarkson, PHARMD
• Clear Creek Chiropractic Center
• Clear Creek Clinic,P.a.
• Clear Creek Counseling Center
• Clear Creek Eyecare LLC
• Clear Creek Independent School District
• Clear Creek Orthodontics, PLLC
• Clear Pix Ultrasound
• Laura Lucia Clifton, DNP, MSN, RN

• Emergency Medicine Physician in League City, TX
• Providers in League City, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.