Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Mhhs Hermann Outpatient Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
6400 FANNIN ST, 16TH FLOOR, HOUSTON, TX 77030-1511
(713) 704-1203
(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
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146509805
—
TX
Enumeration date
07/05/2006
Last updated
06/26/2014
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