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Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Mhhs Hermann Outpatient Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
6400 FANNIN ST, 16TH FLOOR, HOUSTON, TX 77030-1511
(713) 704-1203
(713) 338-4158
Mailing address
PO BOX 301208, DALLAS, TX 75303-1208
(713) 338-4127
(713) 338-4158
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
NULL
293D00000X
Physiological Laboratory
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
07/05/2006
Last updated
06/26/2014
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