Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Memorial Medical Center

Organization Family Medicine Physician · NPI 1497153589

Memorial Medical Center provides Family Medicine Physician services in Port Lavaca, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
Specialties on file
6
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Practice location Address checks out

1016 N Virginia St
Port Lavaca, TX 77979-3000
Phone: (361) 552-0325
Fax: (361) 500-6904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (TX)
Family Medicine Physician Taxonomy 207Q00000X (TX)
Internal Medicine Physician Taxonomy 207R00000X (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (TX)
Pediatrics Physician Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X (TX)

Record details

NPI number1497153589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erin Clevenger — Ceo · (361) 552-6713
Other names Memorial Medical Clinic
NPI enumeratedDecember 5, 2014
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address815 N Virginia St, Port Lavaca, TX 77979-3025

Other providers in Port Lavaca