Port Lavaca Clinic Associates PA
Doing business as Port Lavaca Clinic Associates
Rural health clinic in Port Lavaca, TX, Medicare certification number 453957.
Medicare certification
Provider of Services- CCN
- 453957
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1C
- Participating since
- Dec 1, 1994
- Last certification
- Jun 24, 2015
- Address
- 1200 N Virginia
Port Lavaca, TX 77979
(361) 552-6721
NPI records for this facility (CCN to NPI Mapping) 1
-
- Family Medicine Physician
- Port Lavaca, TX
- NPI 1144262957
Medicare enrollment
Other rural health clinics in Port Lavaca, TX
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.