| Port Lavaca Clinic Associates Pa | |
|
1200 North Virginia Port Lavaca TX 77979-2507 | |
| (361) 552-6721 | |
| (361) 552-7463 |
| Full Name | Port Lavaca Clinic Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 North Virginia, Port Lavaca, Texas |
| Authorized Official Name and Position | Helen Loya (ADMINISTRATIVE ASSITANT) |
| Authorized Official Contact | 3615536560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Lavaca Clinic Associates Pa 1200 North Virginia Port Lavaca TX 77979-2507 Ph: (361) 552-6721 | Port Lavaca Clinic Associates Pa 1200 North Virginia Port Lavaca TX 77979-2507 Ph: (361) 552-6721 |
| NPI Number | 1144262957 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 02/27/2015 |
| Medicare PECOS PAC ID | 3971565193 |
|---|---|
| Medicare Enrollment ID | O20041101000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144262957 | NPI | - | NPPES |
| 133513504 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timu Niratsuwan Kwi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164465415 PECOS PAC ID: 8628028941 Enrollment ID: I20050125000555 |
| Provider Name | John B Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215086228 PECOS PAC ID: 4082712898 Enrollment ID: I20070601000251 |
| Provider Name | Jeannine L Griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700812724 PECOS PAC ID: 5890858013 Enrollment ID: I20090114000743 |
| Provider Name | Leigh A Falcon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871738286 PECOS PAC ID: 7012063860 Enrollment ID: I20090918000384 |
| Provider Name | Richard Arroyo-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629005418 PECOS PAC ID: 9234271016 Enrollment ID: I20100115000648 |
| Provider Name | Michael Caughron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780071506 PECOS PAC ID: 5597072470 Enrollment ID: I20150910001224 |
| Provider Name | Destiny D Ibrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487153573 PECOS PAC ID: 5395009534 Enrollment ID: I20180516000040 |
| Provider Name | Henry Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124502596 PECOS PAC ID: 4183977895 Enrollment ID: I20181026000874 |
| Provider Name | John W Clinton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740609601 PECOS PAC ID: 2769718675 Enrollment ID: I20190731000685 |
| Provider Name | Victoria L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790430254 PECOS PAC ID: 5092101618 Enrollment ID: I20220407002676 |
Memorial Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 N Virginia St Fl 2, Port Lavaca, TX 77979 Phone: 361-552-0379 Fax: 361-500-6904 | |
New Vitality Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 N Virginia St, Port Lavaca, TX 77979 Phone: 361-746-1588 Fax: 361-400-5310 | |
Memorial Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904 | |
Memorial Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-553-7815 |