Memorial Endoscopy Center, LP

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

007907 Issued in TX

Legal business name

MEMORIAL ENDOSCOPY CENTER, LP

Practice address

1233 Campbell Rd
Houston, TX 77055-6453

Phone

(713) 468-9200

Fax

(713) 465-4029

NPI assigned

Nov 23, 2005

Last updated

May 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Doris L Johnson

Title

Business Director

Phone

(713) 468-9200

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1003899055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 CAMPBELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556453",
            "telephone_number": "713-468-9200",
            "fax_number": "713-465-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 CAMPBELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556453",
            "telephone_number": "713-468-9200",
            "fax_number": "713-465-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENDOSCOPY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "713-468-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007907",
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TX",
            "license": "007907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00100956",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1646895-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7252420",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1592",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Dialysis Center LP (Memorial Dialysis Center)
• Memorial Electrodiagnostics, LLC
• Memorial Emergency Center, LLC
• Memorial Emergency Physicians P.a.
• Memorial Endocrinology and Diabetes (Memorial City Endocrine Consultants)
• Memorial ENT Surgical Affilaites, P.a.
• Memorial ENT Surgical Affiliates, P.a.
• Memorial Eye, P.a. (Ship My Contacts)
• Memorial Eye, PA (Memorial Eye)
• Memorial Eye, PA (Memorial Eye)

• Endoscopy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Endoscopy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.