Individual
MRS. ELYSE LYNN BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3560 DELAWARE ST, SUITE 901, BEAUMONT, TX 77706-3067
(409) 898-3900
(409) 898-3901
Mailing address
3560 DELAWARE ST, SUITE 901, BEAUMONT, TX 77706-3067
(409) 898-3900
(409) 898-3901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07970
TX
Other
Enumeration date
08/10/2012
Last updated
02/24/2025
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