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

Memorial Medical Clinic

Organization Family Medicine Physician · NPI 1639510092

Memorial Medical Clinic provides Family Medicine Physician services in Port Lavaca, Texas. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

815 N Virginia St
Port Lavaca, TX 77979-3025 Not confirmed with CMS for 13 years — call before visiting
Phone: (361) 552-0325
Fax: (361) 553-7815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639510092
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Medical Center
Authorized official Danette Bethany — Director · (361) 552-6713
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013
Mailing address815 N Virginia St, Port Lavaca, TX 77979-3025

Other providers in Port Lavaca