Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Children's Memorial Hermann Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-6614
(713) 704-4798
Mailing address
PO BOX 301208, DALLAS, TX 75303-1208
(713) 338-4127
(713) 338-4158
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
00347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137805112
—
TX
Enumeration date
06/23/2006
Last updated
06/25/2014
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