Healthcare Provider Details

I. General information

NPI: 1194964767
Provider Name (Legal Business Name): MEMORIAL PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4024 BROOKHAVEN AVE
PASADENA TX
77504-1902
US

IV. Provider business mailing address

13630 BEAMER RD
HOUSTON TX
77089-6069
US

V. Phone/Fax

Practice location:
  • Phone: 713-944-2324
  • Fax: 713-944-1539
Mailing address:
  • Phone: 281-484-6060
  • Fax: 281-484-6064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberF7977
License Number StateTX

VIII. Authorized Official

Name: DR. KARIM H. ROMMAN
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 281-484-6060