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Crystal Beach Medical Clinic LLC

Family Medicine Physician in Crystal Beach, TX · enumerated 2006 · authorized official Bruce Mitchell, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114948825

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Registry record

Entity type Organization (Type 2)
Legal business name Crystal Beach Medical Clinic LLC
Practice address 955 S. East Rd., Crystal Beach, TX, 77650
Phone (409) 454-2543
Fax (866) 521-5608
Enumeration date Jul 21, 2006
Last updated in NPPES Jan 13, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Bruce Mitchell
Title Member
Phone (409) 454-2543

Other identifiers

Identifier Type State Issuer
182389002 Medicaid TX -
182389001 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Crystal Beach Medical Clinic LLC?
NPPES lists Bruce Mitchell (Member) as the authorized official for this organization.
What is the NPI number for Crystal Beach Medical Clinic LLC?
The NPI for Crystal Beach Medical Clinic LLC is 1114948825, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-13.