Organization · Type 2 NPI

Memorial Hermann Community Benefit Corporation

Primary Care Clinic/Center · Pasadena, TX

NPI number 1073022091 Active

Practice location

400 Park Ln, Suite M
Pasadena, TX 77506

Call (832) 658-5230 Map

Fax (713) 473-0385

Mailing address

909 Frostwood Dr Ste 2.205
Houston, TX 77024-2301

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

2 other providers at this address

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NPI record

NPI: 1073022091
Entity type: Organization (Type 2)
Issued: Sep 21, 2017
Last updated: May 7, 2023
Status: Active

Other names

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Memorial Hermann Health Centers for Schools--Kruse Clinc · doing business as

Authorized official

Carol Paret
Chief Community Health Officer
(713) 338-5983

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073022091

Memorial Hermann Community Benefit Corporation's National Provider Identifier is 1073022091, issued on Sep 21, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pasadena, TX. The record was last updated on May 7, 2023.