MEMORIAL HERMANN CICD ASC
NPI 1629291323
Clinic/Center - Ambulatory Surgical in Houston, TX

Q: What is Memorial Hermann Health System's NPI number?

The NPI number for Memorial Hermann Health System is 1629291323. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Memorial Hermann Cicd ASC.

Q: What is Memorial Hermann Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since April 11, 2007

6411 FANNIN, HOUSTON, TX 77030(713) 704-6614(713) 338-4158 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Memorial Hermann Cicd Asc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL HERMANN CICD ASC (NPI 1629291323) is a healthcare organization registered as an ambulatory surgical in Houston, Texas and active in the NPI registry since April 2007. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629291323

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMEMORIAL HERMANN HEALTH SYSTEM

Location Address6411 FANNINHouston, TX 77030-1501

Mailing AddressPo Box 301208Dallas, TX 75303-1208 · (713) 338-4127 · Fax (713) 338-4158

Phone(713) 704-6614

Fax(713) 338-4158

Organization SubpartNo

Authorized OfficialDennis LarawayCfo · (713) 242-2707

Enumeration DateApril 11, 2007

Last NPPES UpdateJune 25, 2014

✔ NPI 1629291323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

6411 FANNIN, Houston, TX 77030

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Other Names 1

Doing Business AsMemorial Hermann Cicd Asc

Other Identifiers 1

Medicaid137805106TX

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN DREY WALSH MD

Emergency Medicine

6411 FANNIN, DEPARTMENT OF EMERGENCY MEDICINE
HOUSTON, TX 77030

Harris County (713) 500-7885

ALISARA SUPTUESAT M.D.

Radiology (Diagnostic Radiology)

6411 FANNIN
HOUSTON, TX 77030

Harris County (713) 704-4000

DR. GITANJALI INDRAMOHAN MD

Pediatrics (Pediatric Critical Care Medicine)

6411 FANNIN, CHILDREN'S MEMORIAL HERMANN HOSPITAL
HOUSTON, TX 77030

Harris County (713) 500-6443

MEMORIAL HERMANN HEALTH SYSTEM

General Acute Care Hospital

6411 FANNIN
HOUSTON, TX 77030

Harris County (713) 704-6614

STEVEN M. READ M.D.

Anesthesiology

6411 FANNIN
HOUSTON, TX 77030

Harris County (713) 704-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hermann Health System's NPI number?

The NPI number for Memorial Hermann Health System is 1629291323. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Memorial Hermann Cicd ASC.

Where is Memorial Hermann Health System located?

Memorial Hermann Health System is located at 6411 Fannin, Houston, TX 77030. The listed phone number is (713) 704-6614.

What is Memorial Hermann Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Memorial Hermann Health System was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.