MEMORIAL MEDICAL CLINIC
NPI 1639510092
Family Medicine in Port Lavaca, TX

Q: What is Memorial Medical Clinic's NPI number?

The NPI number for Memorial Medical Clinic is 1639510092. It was assigned to this organization in the NPPES registry on July 15, 2013.

Q: What is Memorial Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 15, 2013

815 N VIRGINIA ST, PORT LAVACA, TX 77979(361) 552-0325(361) 553-7815 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Memorial Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL MEDICAL CLINIC (NPI 1639510092) is a healthcare organization registered as a family medicine in Port Lavaca, Texas and active in the NPI registry since July 2013. The organization lists Danette Bethany, Director, as its authorized official.

NPPES Registry Identity

NPI1639510092

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMEMORIAL MEDICAL CLINIC

Location Address815 N VIRGINIA STPort Lavaca, TX 77979-3025

Mailing Address815 N Virginia StPort Lavaca, TX 77979-3025 · (361) 552-0325 · Fax (361) 553-7815

Phone(361) 552-0325

Fax(361) 553-7815

Organization SubpartYesParent: Memorial Medical Center

Authorized OfficialDanette BethanyDirector · (361) 552-6713

Enumeration DateJuly 15, 2013

✔ NPI 1639510092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

815 N VIRGINIA ST, Port Lavaca, TX 77979

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM NICHOLAS MYERS CRNA

Nurse Anesthetist, Certified Registered