Organization · Type 2 NPI

Memorial Medical Center

Surgery Physician · Port Lavaca, TX

NPI number 1104203181 Active

Practice location

815 N Virginia St
Port Lavaca, TX 77979-3025

Call (361) 552-6713 Map

Fax (361) 552-0220

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

19 other providers at this address

About NPI 1104203181

Memorial Medical Center's National Provider Identifier is 1104203181, issued on Apr 29, 2015. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Port Lavaca, TX. The record was last updated on Jul 6, 2026.