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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