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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164431078 | NPPES |
| Texas | Other | 0025PW | BCBS GROUP NUMBER |
| Texas | MEDICAID | 154482701 | BCBS GROUP NUMBER |
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