Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
TIRR Memorial Hermann
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH GORDON (EVP, CAO & CHIEF LEGAL OFFICER)
(713) 242-2709
Entity
Organization
Contact information
Practice address
1333 MOURSUND ST, HOUSTON, TX 77030-3405
(713) 799-5000
(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
261QR0400X
Rehabilitation Clinic/Center
—
TX
283X00000X
Rehabilitation Hospital
Primary
000164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138003201
—
TX
05
—
138003202
—
TX
05
—
138003205
—
TX
05
—
138003207
—
TX
05
—
138003209
—
TX
05
—
138003210
—
TX
05
—
337433201
—
TX
05
—
337433207
—
TX
01
—
4538530
AETNA INSURANCE
TX
01
—
HH0696
BLUE CROSS
TX
Enumeration date
07/12/2005
Last updated
05/23/2023
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