Memorial Medical Center

NPI #1104203181 in Port Lavaca, Texas

Provider Information

NPI Number: 1104203181
Entity Type: Organization
Organization Name: Memorial Medical Center
Primary Specialty: Surgery
Enumeration Date: Apr 29, 2015
Last Updated: May 22, 2015

Practice Location

Address: 815 N VIRGINIA ST
City: Port Lavaca
State: Texas
ZIP Code: 77979-3025
Phone: (361) 552-6713

Authorized Official

Name: MR. JASON ANGLIN
Title: CEO
Phone: (361) 552-6713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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