Crockett Clinic LLP

NPI #1285626911 in Crockett, Texas

Provider Information

NPI Number: 1285626911
Entity Type: Organization
Organization Name: Crockett Clinic LLP
Primary Specialty: Family Medicine
Enumeration Date: Aug 18, 2005
Last Updated: Jun 18, 2008

Practice Location

Address: 1122 E LOOP 304
City: Crockett
State: Texas
ZIP Code: 75835-1810
Phone: (936) 544-2157

Authorized Official

Name: MRS. KATHY L RAINS
Title: OFFICE MANAGER
Phone: (936) 544-2157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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