P Praxis·MD
● Active Type 2 · Organization

Memorial Medical Center

Surgery·Port Lavaca, TX· NPI 1104203181 · Enumerated 2015 · 11 years on NPI
Memorial Medical Center is 1 of 3028 surgery organizations in Texas.
NPI age
11 years
Enumerated 2015-04-29
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clevenger
Ceo
Last NPPES update
2026-03-04
Source: monthly bulk 2026-05

How this organization compares

Across 3028 active surgery providers in Texas.

NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
815 N Virginia St
Port Lavaca, TX 779793025
📞 3615526713fax 3615520220
Mailing address
815 N Virginia St
Port Lavaca, TX 779793025
📞 3615526713fax 3615520220

Authorized official

Erin Clevenger
Ceo
📞 3615520454

Individual providers at this organization

6 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    taxonomy 208600000X

Identifiers

TypeValueNotes
01 (TX) T225 MEDICARE PART B
05 (TX) 137909103

Practice context

Multi-provider organization. 6 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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