Organization
MID COAST MEDICAL CENTER CROCKETT INC
Active
Other names
Crockett Medical Center Clinic, Crockett Medical Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE CORNETT (CHIEF FINANCIAL OFFICER)
(979) 543-6251
Entity
Organization
Contact information
Practice address
1050 E LOOP 304 STE 201, CROCKETT, TX 75835-1814
(936) 546-3890
Mailing address
1050 E LOOP 304 STE 200, CROCKETT, TX 75835-1800
(936) 546-3890
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
02/24/2026
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