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Organization
MEMORIAL MEDICAL CLINIC
Active
Organization
MEMORIAL MEDICAL CLINIC
Active
Parent organization
MEMORIAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER
Authorized official
MRS. DANETTE BETHANY (DIRECTOR)
(361) 552-6713
Entity
Organization
Contact information
Practice address
815 N VIRGINIA ST, PORT LAVACA, TX 77979-3025
(361) 552-0325
(361) 553-7815
Mailing address
815 N VIRGINIA ST, PORT LAVACA, TX 77979-3025
(361) 552-0325
(361) 553-7815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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