Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 456-5000
(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
261QA1903X
Ambulatory Surgical Clinic/Center
—
TX
261QR0200X
Radiology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
000119
TX
282N00000X
General Acute Care Hospital
Primary
000172
TX
282N00000X
General Acute Care Hospital
000407
TX
282N00000X
General Acute Care Hospital
000615
TX
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020834001
—
TX
05
—
094493601
—
TX
Enumeration date
05/18/2006
Last updated
02/20/2019
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