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Organization
MEMORIAL HERMANN ENDOSCOPY CENTER NORTH FREEWAY LLC
Active
Organization
MEMORIAL HERMANN ENDOSCOPY CENTER NORTH FREEWAY LLC
Active
Other names
Memorial Hermann Endoscopy Center North Loop
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
1900 NORTH LOOP W, STE 550, HOUSTON, TX 77018-8100
(713) 457-2750
(713) 457-2751
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(713) 457-2750
(713) 457-2751
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205007
—
TX
Enumeration date
06/29/2010
Last updated
09/05/2024
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