Organization · NPI-2

Memorial Hermann Specialty Hospital Kingwood L L C

General Acute Care Hospital · Kingwood, TX

NPI number1366532228

StatusActive

Last updated in NPPESOct 11, 2024

Details

NPI: 1366532228
Entity type: Organization (NPI-2)
Legal business name: Memorial Hermann Specialty Hospital Kingwood L L C
Organization subpart: No
Enumeration date: Oct 13, 2006
Certification date: Oct 11, 2024
Last updated: Oct 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
282N00000X	General Acute Care Hospital	008591	TX	Yes

Other names

Memorial Hermann Surgical Hospital Kingwood (Doing Business As)

Practice location

300 Kingwood Medical Drive
Kingwood, TX 77339-6400

Phone 281-312-4000 · Fax 281-358-2461

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916

Phone 972-763-3859 · Fax 281-358-2461

Authorized official

Nicholas Crafts
Officer / Authorized Official
8327294009

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