Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crockett Medical Center, LLC

Organization Family Medicine Physician · NPI 1487155990

Crockett Medical Center, LLC is a Family Medicine Physician in Crockett, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 E Loop 304
Crockett, TX 75835
Phone: (936) 546-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (TX)
Internal Medicine Physician Taxonomy 207R00000X (TX)
Cardiovascular Disease Physician Taxonomy 207RC0000X (TX)
Interventional Cardiology Physician Taxonomy 207RI0011X (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X (TX)
Urology Physician Taxonomy 208800000X (TX)

Record details

NPI number1487155990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Tjelmeland — Ceo · (512) 617-7500
Other names Crockett Medical Center Clinic
NPI enumeratedFebruary 21, 2018
Last updated in NPPESAugust 28, 2018
Mailing address4220 Bull Creek Rd, Austin, TX 78731-6026

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