Individual
MORGAN BRACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
705 HIGHWAY 418 W, SILSBEE, TX 77656-3635
(409) 385-0033
Mailing address
6320 APRIL LN, LUMBERTON, TX 77657-6208
(409) 673-9811
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2155550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155550
—
TX
Enumeration date
09/24/2020
Last updated
09/24/2020
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