Memorial Medical Clinic
NPI 1639510092ActiveOrganization· Family Medicine· Port Lavaca, TX
Family Medicine in Port Lavaca, Texas, registered in NPPES in July 2013, part of Memorial Medical Center. The authorized official on file is Danette Bethany, Director.
Overview
| NPI | 1639510092 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Memorial Medical Center |
| NPI issued | Jul 15, 2013 |
| Last updated in NPPES | Jul 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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