| Gulfside Medical Clinic Of Texas, Pa | |
|
1209 Highway 35 N Suite A Rockport TX 78382-3117 | |
| (361) 729-9811 | |
| (361) 729-9819 |
| Full Name | Gulfside Medical Clinic Of Texas, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1209 Highway 35 N, Rockport, Texas |
| Authorized Official Name and Position | Jack H Brackin (OWNER / PHYSICIAN) |
| Authorized Official Contact | 3617299811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulfside Medical Clinic Of Texas, Pa 1209 Highway 35 N Suite A Rockport TX 78382-3117 Ph: (361) 729-9811 | Gulfside Medical Clinic Of Texas, Pa 1209 Highway 35 N Suite A Rockport TX 78382-3117 Ph: (361) 729-9811 |
| NPI Number | 1386653277 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386653277 | NPI | - | NPPES |
| 0025PW | Other | TX | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J0446 (Texas) | Primary |
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