| NPI | 1386653277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK H BRACKIN Owner / Physician 361-729-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J0446) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-11-19 |