Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Memorial Hermann Imaging Centers-Conroe Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
1150 N LOOP 336 W, CONROE, TX 77301-1156
(936) 442-2633
(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
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
06/27/2014
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