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NPI Code Detail

MEDICARE: MEMORIAL HERMANN HEALTH SYSTEM

MEDICARE: MEMORIAL HERMANN HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/CenterTX
2282N00000XGeneral Acute Care Hospital000534TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932152337
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMORIAL HERMANN HEALTH SYSTEM
Provider Business Mailing Address
First Line : PO BOX 301208
Second Line :
City : DALLAS
State : TX
Zip : 75303-1208
Country : US
Telephone Number : 713-338-4127
Fax Number : 713-338-4158
Provider Business Practice Location Address
First Line : 23900 KATY FWY
Second Line :
City : KATY
State : TX
Zip : 77494-1323
Country : US
Telephone Number : 281-644-7000
Fax Number : 713-338-4158
Authorized Official
Title or Position : CFO
Name : MR. DENNIS LARAWAY
Credential :
Telephone Number : 713-242-2707
Provider Enumeration Date : 05/18/2006
Last Update Date : 10/06/2015

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Directions to “MEMORIAL HERMANN HEALTH SYSTEM ” Practice Location

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