NPIMap

Organization Active NPI

Memorial Hermann Health System

Doing business as Memorial Hermann Outpatient Imaging-Southwest

  • Radiology Clinic/Center
  • Houston, TX
National Provider Identifier
1104012699
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
Memorial Hermann Outpatient Imaging-Southwest
Practice address
7789 Southwest Fwy
Suite 150
Houston, TX 77074-1829
Phone
(713) 338-4127
Fax
(713) 338-4158
NPI assigned
Sep 19, 2007
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7789 Southwest Fwy
Suite 150
Houston, TX 77074-1829

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other identifiers 1

IdentifierTypeStateIssuer
185684101MedicaidTX

Other names 1

  • Memorial Hermann Outpatient Imaging-Southwest Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Geriatric Resource Cent63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1104012699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY",
            "address_2": "SUITE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741829",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185684101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Outpatient Imaging-Southwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.