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

Port Lavaca Anesthesia Group LLC

Organization Anesthesiology Physician · NPI 1679848220

Port Lavaca Anesthesia Group LLC is an Anesthesiology Physician in Port Lavaca, Texas. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

815 N Virginia St
Port Lavaca, TX 77979-3025
Phone: (361) 552-6713
Fax: (903) 552-0362
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1679848220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Johnson — Manager · (214) 254-4672
NPI enumeratedMarch 15, 2012
Last updated in NPPESMarch 15, 2012
Mailing addressPo Box 742976, Dallas, TX 75374-2976