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 provides Family Medicine Physician services 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