MEMORIAL HERMANN HEALTH SYSTEM NPI 1013130129

NPI Information

NPI: 1013130129
Provider Name: MEMORIAL HERMANN HEALTH SYSTEM

Doing Business As: MEMORIAL HERMANN SUGAR LAND ASC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
17500 W GRAND PKWY S
SUGAR LAND, TX
ZIP 77479
Phone: (281) 725-5000
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MEMORIAL HERMANN HEALTH SYSTEM is an ambulatory surgical clinic center in Sugar Land, TX. MEMORIAL HERMANN HEALTH SYSTEM NPI is 1013130129. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Hermann Sugar Land Asc.

The provider's business location address is:

17500 W GRAND PKWY S
SUGAR LAND, TX
ZIP 77479-562
Phone: (281) 725-5000
Fax: (713) 338-4158

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (713) 242-2707.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 6/26/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	146021402	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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