Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Crystal Beach Medical Clinic LLC

Organization Family Medicine Physician · NPI 1114948825

Crystal Beach Medical Clinic LLC provides Family Medicine Physician services in Crystal Beach, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

955 S East Rd
Crystal Beach, TX 77650-1449 Not confirmed with CMS for 17 years — call before visiting
Phone: (409) 454-2543
Fax: (866) 521-5608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114948825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Mitchell — Member · (409) 454-2543
NPI enumeratedJuly 21, 2006
Last updated in NPPESJanuary 13, 2009
Mailing addressPo Box 1449, Crystal Beach, TX 77650-1449