Individual
MRS. ELYSE LYNN BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 BAYOU BRANDT, BEAUMONT, TX 77706-2612
(409) 600-2003
(832) 753-7548
Mailing address
4747 BELLAIRE BLVD STE 225, BELLAIRE, TX 77401-4532
(832) 753-7546
(832) 753-7548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07970
TX
Other
Enumeration date
08/10/2012
Last updated
07/31/2026
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