Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Hermann Community Benefit Corporation

Organization Family Medicine Physician · NPI 1275817504

Memorial Hermann Community Benefit Corporation is a Family Medicine Physician in South Houston, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
Specialties on file
3

Practice location Address checks out

1500 Main St
South Houston, TX 77587-4252
Phone: (713) 946-7461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Medicine Physician Taxonomy 207Q00000X · Licence F0899 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence F0889 (TX)

Record details

NPI number1275817504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Paret — Chief Community Benefit Officer · (713) 338-5983
Other names Memorial Hermann Health Centers For Schools--Wave Clinic
NPI enumeratedOctober 5, 2011
Last updated in NPPESMay 7, 2023
Certification dateMay 7, 2023
Mailing address909 Frostwood Dr, Houston, TX 77024-2301