# EL CAMPO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093393886
- **Authorized official:** ANITA CRISP (VICE PRESIDENT PHYSICIAN SERVICES)
- **Authorized official phone:** (979) 543-5510

## Contact information

- **Practice address:** 135 RANCH ROAD 2900, KINGLANDS, TX 78639
- **Practice address phone:** (979) 543-5510
- **Mailing address:** 305 SANDY CORNER RD, EL CAMPO, TX 77437-9535
- **Mailing address phone:** (979) 543-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/01/2021