# EL CAMPO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MidCoast Campus Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417413188
- **Authorized official:** ANITA M CRISP (CLINIC DIRECTOR)
- **Authorized official phone:** (979) 543-5510

## Contact information

- **Practice address:** LADIEU TECHNOLOGY CENTER ROOM 112, 911 BOLING HIGHWAY, WHARTON, TX 77488
- **Practice address phone:** (979) 543-5510
- **Mailing address:** 305 SANDY CORNER RD, EL CAMPO, TX 77437-9535

## Taxonomy

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

## Other

- **Enumeration date:** 02/18/2019
- **Last updated:** 02/18/2019