Basic Information
| Provider Information | |||||||||
| NPI: | 1922239417 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14023 SOUTHWEST FWY | ||||||||
| Address2: | |||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774783550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813254210 | ||||||||
| FaxNumber: | 2813254268 | ||||||||
| Practice Location | |||||||||
| Address1: | 14023 SOUTHWEST FWY | ||||||||
| Address2: | |||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774783550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813254210 | ||||||||
| FaxNumber: | 2813254268 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2009 | ||||||||
| LastUpdateDate: | 07/31/2009 | ||||||||
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| AuthorizedOfficialLastName: | ADAMS | ||||||||
| AuthorizedOfficialFirstName: | HELEN | ||||||||
| AuthorizedOfficialMiddleName: | I | ||||||||
| AuthorizedOfficialTitleorPosition: | SYSTEM EXECUTIVE | ||||||||
| AuthorizedOfficialTelephone: | 2813254201 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | MEMORIAL HERMANN HOSPITAL SYSTEM | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.