Gulfside Medical Clinic Of Texas, Pa

LBN: Gulfside Medical Clinic Of Texas, Pa
Gulfside Medical Clinic Of Texas, Pa is an health care organization with primary practice located at 1209 Highway 35 N Suite A, Rockport TX 78382-3117. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gulfside Medical Clinic Of Texas, Pa can be contacted via phone (361) 729-9811, or through Brackin, Jack H 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
Authorized official contact:
Name: Brackin, Jack H Doctor of Medicine (MD)
Phone: (361) 729-9811

Health care specialties

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

Profile Details

NPI number 1386653277
LBN Legal business name Gulfside Medical Clinic Of Texas, Pa
DBA Doing business as
Authorized official Brackin, Jack H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Nov 19th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386653277 NPPES
Texas Other 0025PW BCBS GROUP NUMBER

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