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Organization

MEMORIAL HERMANN HEALTH SYSTEM

Active
Other names
MHHS Memorial City Outpatient Imaging Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS LARAWAY (VP-GOVERNMENT REPORTING & MGD CARE)
(713) 242-2785
Entity
Organization

Contact information

Practice address
925 GESSNER, SUITE 200, HOUSTON, TX 77024-2314
(713) 242-3700
(713) 338-4158
Mailing address
PO BOX 301208, DALLAS, TX 75303-1208
(713) 338-4127
(713) 338-4158

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176787301
TX
Enumeration date
07/11/2006
Last updated
06/26/2014
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