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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1295199982
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	:	3043 GESSNER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-1000
Country	:	US
Telephone Number	:	713-939-7272
Fax Number	:	713-338-4158

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	DENNIS LARAWAY
Credential	:
Telephone Number	:	713-242-2707

Provider Enumeration Date	:	04/08/2016
Last Update Date	:	04/08/2016

Similar Medicare Providers

1619902475 — MEMORIAL HERMANN CONTINUING CARE CORPORATION
Practice Location Address:

3033 GESSNER DR
HOUSTON, TX
77080-1000

Practice Phone: 713-460-8222
Practice Fax: 713-338-4158

1689956799 — MICHELLE LYNN CRAFT
Practice Location Address:

3033 GESSNER DR
HOUSTON, TX
77080-1000

Practice Phone: 713-329-7506
Practice Fax:

1619331444 — MARY TAYLOR LCSW
Practice Location Address:

3033 GESSNER RD
HOUSTON, TX
77080-1000

Practice Phone: 713-329-7592
Practice Fax: 713-329-7505

1932563764 — THERESA FAWVOR LCSW
Practice Location Address:

3033 GESSNER RD
HOUSTON, TX
77080-1000

Practice Phone: 713-329-7501
Practice Fax: 713-329-7505

1033656509 — MRS. KACIE S LEGAYE LCSW-S, LCDC
Practice Location Address:

3033 GESSNER RD
HOUSTON, TX
77080-1000

Practice Phone: 713-329-7500
Practice Fax:

1487178281 — MS. KATIE LOUISE BEAVER LPC, LMFT
Practice Location Address:

3033 GESSNER RD
HOUSTON, TX
77080-1000

Practice Phone: 713-329-7506
Practice Fax:

Directions to “MEMORIAL HERMANN HEALTH SYSTEM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.