# MEMORIAL HERMANN HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MHHS TMC Outpatient Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477728376
- **Authorized official:** MR. DENNIS LARAWAY (CFO)
- **Authorized official phone:** (713) 242-2707

## Contact information

- **Practice address:** 6400 FANNIN ST, 16TH FLOOR, HOUSTON, TX 77030-1521
- **Practice address phone:** (713) 704-1203
- **Practice address fax:** (713) 338-4158
- **Mailing address:** PO BOX 201367, HOUSTON, TX 77216-1367
- **Mailing address phone:** (713) 338-4127
- **Mailing address fax:** (713) 338-4158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |
| 293D00000X | Physiological Laboratory | — | — | — |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 10/03/2013