Organization · Type 2 NPI
Memorial Medical Center
Rural Health Clinic/Center · Port Lavaca, TX
NPI number
1053964742
Active
Practice location
815 N Virginia St Fl 2
Port Lavaca, TX 77979-3025
Fax (361) 500-6904
Mailing address
815 N Virginia St
Port Lavaca, TX 77979-3025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
Other rural health clinic/center providers in Port Lavaca
About NPI 1053964742
Memorial Medical Center's National Provider Identifier is 1053964742, issued on Jul 22, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Port Lavaca, TX. The record was last updated on Sep 19, 2025.