Gulfside Medical Clinic of Texas, PA

NPI #1386653277 in Rockport, Texas

Provider Information

NPI Number: 1386653277
Entity Type: Organization
Organization Name: Gulfside Medical Clinic of Texas, PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 7, 2006
Last Updated: Nov 19, 2007

Practice Location

Address: 1209 HIGHWAY 35 N
Address 2: SUITE A
City: Rockport
State: Texas
ZIP Code: 78382-3117
Phone: (361) 729-9811

Authorized Official

Name: JACK H BRACKIN, M.D.
Title: OWNER / PHYSICIAN
Phone: (361) 729-9811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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