1043266364 NPI number — MEMORIAL HERMANN HOSPITAL SYSTEM

Table of content: (NPI 1043266364)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043266364 NPI number — MEMORIAL HERMANN HOSPITAL SYSTEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEMORIAL HERMANN HOSPITAL SYSTEM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PHYSICIANS AT SUGAR CREEK
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043266364
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14023 SOUTHWEST FWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478-3550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-276-2000
Provider Business Mailing Address Fax Number:
281-325-4228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14023 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77478-3550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-276-2000
Provider Business Practice Location Address Fax Number:
281-325-4298
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ADAMS
Authorized Official First Name:
HELEN
Authorized Official Middle Name:
I
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
281-276-2000

Provider Taxonomy Codes

  • Taxonomy code: 103TP0016X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207QG0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207QS0010X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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