Port Lavaca Clinic Associates Pa
LBN: Port Lavaca Clinic Associates Pa
Port Lavaca Clinic Associates Pa is an health care organization with primary practice located at 1200 North Virginia , Port Lavaca TX 77979-2507. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Port Lavaca Clinic Associates Pa can be contacted via phone (361) 552-6721, or through Loya, Helen via phone (361) 553-6560.
Contact Information
Primary practice address
1200 North Virginia
Port Lavaca TX 77979-2507
Phone: (361) 552-6721
Fax: (361) 552-7463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1144262957 |
|---|---|
| LBN Legal business name | Port Lavaca Clinic Associates Pa |
| DBA Doing business as | |
| Authorized official | Loya, Helen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Feb 27th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144262957 | NPPES |
| Texas | MEDICAID | 133513504 |
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