Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Memorial Hermann Outpatient Imaging-Southwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
7789 SOUTHWEST FREEWAY, SUITE 150, HOUSTON, TX 77079
(713) 338-4127
(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
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185684101
—
TX
Enumeration date
09/06/2006
Last updated
06/26/2014
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