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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