P Praxis·MD
● Active Type 2 · Organization

Mid Coast Medical Center Crockett Inc

Clinic/Center·Crockett, TX· NPI 1003303983 · Enumerated 2018 · 8 years on NPI
Mid Coast Medical Center Crockett Inc is 1 of 689 clinic/center organizations in Texas.
NPI age
8 years
Enumerated 2018-04-17
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cornett
Chief Financial Officer
Last NPPES update
2026-02-24
Source: monthly bulk 2026-05

How this organization compares

Across 689 active clinic/center providers in Texas.

NPI age
8 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-04Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1050 E Loop 304 Ste 201
Crockett, TX 758351814
📞 9365463890
Mailing address
1050 E Loop 304 Ste 200
Crockett, TX 758351800
📞 9365463890

Authorized official

Carrie Cornett
Chief Financial Officer
📞 9795436251

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR1300X

Other names on file (3)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Crockett Medical Center Clinic
    Type code 3 recorded 2026-02-20
  • Crockett Medical Center LLC
    Type code 4 recorded 2026-02-20
  • Crockett Medical Center Clinic
    Type code 3 recorded 2018-04-17

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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