| Memorial Medical Clinic | |
|
815 N Virginia St Port Lavaca TX 77979-3025 | |
| (361) 552-0325 | |
| (361) 553-7815 |
| Full Name | Memorial Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 815 N Virginia St, Port Lavaca, Texas |
| Authorized Official Name and Position | Danette Bethany (DIRECTOR) |
| Authorized Official Contact | 3615526713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Clinic 815 N Virginia St Port Lavaca TX 77979-3025 Ph: (361) 552-0325 | Memorial Medical Clinic 815 N Virginia St Port Lavaca TX 77979-3025 Ph: (361) 552-0325 |
| NPI Number | 1639510092 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639510092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Memorial Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 N. Virginia St., Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-552-8759 |