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MEMORIAL HERMANN MEDICAL GROUP NPI 1003985102


NPI Information

NPI: 1003985102
Provider Name: MEMORIAL HERMANN MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2172763

Address:
909 FROSTWOOD DR.
SUITE 1.100
HOUSTON, TX
ZIP 77024
Phone: (713) 338-4523
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MEMORIAL HERMANN MEDICAL GROUP is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEMORIAL HERMANN MEDICAL GROUP NPI is 1003985102. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

909 FROSTWOOD DR.
SUITE 1.100
HOUSTON, TX
ZIP 77024-301
Phone: (713) 338-4523
Fax: (713) 338-5500

The provider's authorized official is James Mccarthy .
The authorized official title is EVP & PHYSICIAN CHIEF EXECUTIVEPhysician Chief Executive and has the following contact phone number (713) 338-5519.

The CLIA number assigned to this NPI record is 45D2172763 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 9/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207X00000XOrthopaedic SurgeryNo
5208000000XPediatricsNo
62084N0400XPsychiatry & NeurologyNeurologyNo
7207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.