Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Memorial Hermann Sports Medicine and Rehabilitation-El Campo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
1602 N MECHANIC ST, EL CAMPO, TX 77437-2640
(979) 543-6219
(979) 543-6397
Mailing address
PO BOX 301208, DALLAS, TX 75303-1208
(713) 338-4127
(713) 338-4158
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
06/27/2014
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