Memorial Rehab Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

K6006 Issued in TX

Legal business name

MEMORIAL REHAB INC.

Practice address

203 N College Ave
Suite 1001
Cleveland, TX 77327-4000

Phone

(281) 592-2426

Fax

(281) 593-0060

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Innad H Husaini

Title

President

Phone

(281) 592-2426

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1366607954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1816",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773281816",
            "telephone_number": "291-592-2426",
            "fax_number": "281-593-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N COLLEGE AVE",
            "address_2": "SUITE 1001",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274000",
            "telephone_number": "281-592-2426",
            "fax_number": "281-593-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HUSAINI",
        "authorized_official_first_name": "INNAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-592-2426",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6006",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K6006",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K6006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latresha J McBride, MD
• Caven Roshard McClain
• Kristina Lyn McDonald, MPT
• Timothy McTigue, M.D., M.S.P.H.
• Francisco Javier Medrano, LMT
• Sara Mettlen
• Michael P Siropaides, MD
• Michelle Navalance Mariani
• Nina Miller, COTA
• Mje Assist

• Ophthalmology Physician in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.