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 is a Family Medicine Physician 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
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