Organization
MEMORIAL ENDOSCOPY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORIS L JOHNSON (BUSINESS DIRECTOR)
(713) 468-9200
Entity
Organization
Contact information
Practice address
1233 CAMPBELL RD, HOUSTON, TX 77055-6453
(713) 468-9200
(713) 465-4029
Mailing address
1233 CAMPBELL RD, HOUSTON, TX 77055-6453
(713) 468-9200
(713) 465-4029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
007907
TX
261QE0800X
Endoscopy Clinic/Center
Primary
007907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1646895-01
—
TX
01
—
7252420
AETNA
TX
01
—
HH1592
BCBS
TX
01
—
P00100956
RRMCR
TX
Enumeration date
11/23/2005
Last updated
05/19/2010
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