Memorial Hermann Health System

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

MEMORIAL HERMANN HEALTH SYSTEM

Doing business as

Memorial Hermann Sports Medicine and Rehabilitation-El Campo

Practice address

1602 N Mechanic St
El Campo, TX 77437-2640

Phone

(979) 543-6219

Fax

(979) 543-6397

NPI assigned

May 17, 2012

Organization subpart

No

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

Addresses

Other names 1

• Memorial Hermann Sports Medicine and Rehabilitation-El Campo Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorial Hermann Health System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Member Of

  NPD member

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1316207855",
    "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": "1602 N MECHANIC ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774372640",
            "telephone_number": "979-543-6219",
            "fax_number": "979-543-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "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": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Sports Medicine and Rehabilitation-El Campo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa D McKnight, NP
• Medistar Apothecary LLC
• Colleen Martha Melburn, M.D.
• Melissa a Kainer Erwin, M.D., P.a.
• Memeeha, LLC
• Jean Ann Merck, LCP
• Kimberly E Mickelson, LPC
• Mid Coast Health System
• Modern Dental
• Oakbend Medical Center

• Comprehensive Outpatient Rehabilitation Facility (CORF) in El Campo, TX
• Providers in El Campo, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• 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.