Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Memorial Hermann TRC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
3512 HIGHWAY 365, NEDERLAND, TX 77627-7834
(409) 722-7116
(281) 669-0427
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021686301
—
TX
Enumeration date
07/12/2005
Last updated
07/01/2014
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