Organization
MEMORIAL HERMANN REHABILITATION HOSPITAL KATY, LLC
Active
Other names
Memorial Hermann Rehabilitation Hospital Katy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH GORDON (EVP, CAO & CHIEF LEGAL OFFICER)
(713) 242-2709
Entity
Organization
Contact information
Practice address
21720 KINGSLAND BLVD STE 102, KATY, TX 77450-2551
(713) 338-4127
(713) 338-4158
Mailing address
PO BOX 301536, DALLAS, TX 75303-1536
(713) 338-4127
(713) 338-4158
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220238402
—
TX
Enumeration date
01/20/2009
Last updated
04/04/2023
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