Individual
FRED B BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4234 WEBER RD, CORPUS CHRISTI, TX 78411-3603
(361) 883-3831
(361) 887-0146
Mailing address
4234 WEBER RD, CORPUS CHRISTI, TX 78411-3603
(361) 883-3831
(361) 887-0146
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
E7836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114250703
—
TX
Enumeration date
02/02/2006
Last updated
12/18/2018
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