Organization
MH EMERUS TOMBALL LLC
Active
Other names
Memorial Hermann First Colony Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BUCK (PRESIDENT)
(713) 637-1004
Entity
Organization
Contact information
Practice address
16000 SOUTHWEST FWY STE 100, SUGAR LAND, TX 77479-2674
(281) 277-0911
(281) 277-4511
Mailing address
8686 NEW TRAILS DR STE 100, THE WOODLANDS, TX 77381-1176
(713) 637-1146
(713) 637-1084
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379968601
—
TX
01
—
67-0095
MEDICARE
TX
Enumeration date
05/02/2018
Last updated
02/19/2019
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