Organization Active NPI

Memorial Hermann Surgery Center, Pearland

  • Ambulatory Surgical Clinic/Center
  • Pearland, TX
National Provider Identifier
1235288903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
TBD Issued in TX
Legal business name
MEMORIAL HERMANN SURGERY CENTER, PEARLAND
Practice address
10905 Memorial Hermann Drive
Pearland, TX 77584
Phone
(713) 343-0844
Fax
(713) 343-0833
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David A. Lewis
Title
Regional Vice President
Phone
(713) 343-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X TBD TX Primary

Addresses

Primary practice location

10905 Memorial Hermann Drive
Pearland, TX 77584

Mailing address

3050 Post Oak Blvd
Suite 620
Houston, TX 77056-6527
Phone (713) 343-0844

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1088616Memorial Hermann Imaging Center - Pearland10905 Memorial Hermann Dr., Suite 104, Pearland, TX 77584Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

3050 Post Oak Blvd
Ste 620
Houston, TX 77056

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235288903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 POST OAK BLVD",
            "address_2": "SUITE 620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566527",
            "telephone_number": "713-343-0844",
            "fax_number": "713-343-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DRIVE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-343-0844",
            "fax_number": "713-343-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN SURGERY CENTER, PEARLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "713-343-0844"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.