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

Memorial Medical Center

Organization Family Medicine Physician · NPI 1497153589

Memorial Medical Center is a Family Medicine Physician 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

Practice location Address checks out

1016 N Virginia St
Port Lavaca, TX 77979-3000
Phone: (361) 552-0325
Fax: (361) 500-6904
Show map & directions

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