# MEMORIAL HERMANN HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hermann Sports Medicine and Rehabilitation-El Campo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316207855
- **Authorized official:** MR. DENNIS LARAWAY (CFO)
- **Authorized official phone:** (713) 242-2707

## Contact information

- **Practice address:** 1602 N MECHANIC ST, EL CAMPO, TX 77437-2640
- **Practice address phone:** (979) 543-6219
- **Practice address fax:** (979) 543-6397
- **Mailing address:** PO BOX 301208, DALLAS, TX 75303-1208
- **Mailing address phone:** (713) 338-4127
- **Mailing address fax:** (713) 338-4158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2012
- **Last updated:** 06/27/2014