NPI age
19 years
Enumerated 2006-07-21
● Active Type 2 · Organization
Crystal Beach Medical Clinic Llc
Crystal Beach Medical Clinic Llc is 1 of 15966 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mitchell
Member
Last NPPES update
2009-01-13
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
955 S. East Rd.
Crystal Beach, TX 776501449
Mailing address
Po Box 1449
Crystal Beach, TX 776501449
Authorized official
Bruce Lever Mitchell, PA-C
Member
📞 4094542543
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 182389002 | |
| 05 (TX) | 182389001 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.