Memorial Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEMORIAL MEDICAL CENTER

Practice address

11353 Sugar Park LN
Sugar Land, TX 77478-1407

Phone

(281) 276-2050

NPI assigned

Jan 2, 2015

Organization subpart

No

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

Authorized official

Name

Jason Anglin

Title

Ceo

Phone

(361) 552-6713

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Crescent Doing business as

Member of 1

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

• Memorial Medical Center

  • Rural Health Clinic/Center
  • Port Lavaca, TX
  • NPI 1497153589

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarfraz Aly, MD

  • Infectious Disease Physician
  • Sugar Land, TX
  • NPI 1972766327
  NPD (past)
• Aman Ali Jafar, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1912999426
  NPD (past)

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1669860425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11353 SUGAR PARK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774781407",
            "telephone_number": "281-276-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-552-6713"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "67-6323",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Crescent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Memorial Hermann Pharmacy Services, LLC
• Memorial Hermann Sugar Land
• Memorial Hermann Sugar Land Surgical Hospital, LLP
• Memorial Hermann Surgery Center Sugar Land LLP
• Memorial Hermann Urgent Care PLLC
• Delmy Carolina Mena
• Aaron Raymond Menchaca, D.D.S.
• Odorindo Mendes-Neto, M.D.
• Angelica M Mendez
• Jorge A. Mendoza-Valencia, LSA, SA-C.

• All providers in Sugar Land, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.