# MEMORIAL HERMANN HOSPITAL SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hermann OPID UTHSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336335827
- **Authorized official:** MR. H. JEFFREY BROWNAWELL (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (713) 448-5715

## Contact information

- **Practice address:** 6410 FANNIN ST, SUITE 170, HOUSTON, TX 77030-3000
- **Practice address phone:** (713) 704-1203
- **Practice address fax:** (713) 448-4158
- **Mailing address:** PO BOX 201367, HOUSTON, TX 77216-1367
- **Mailing address phone:** (713) 448-4127
- **Mailing address fax:** (713) 448-4158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 09/19/2007