Brackin, Jack H

Brackin, Jack H is an individual health care provider with primary practice located at 1209 Highway 35 N Suite A, Rockport TX 78382-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brackin, Jack H can be contacted via phone (361) 729-9811.

Contact Information

Primary practice address
1209 Highway 35 N Suite A Rockport TX 78382-3117
Phone: (361) 729-9811
Fax: (361) 729-9819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J0446 Texas

Profile Details

NPI number 1164431078
LBN Legal business name Brackin, Jack H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Oct 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164431078 NPPES
Texas Other 0025PW BCBS GROUP NUMBER
Texas MEDICAID 154482701 BCBS GROUP NUMBER

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