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

Crystal Beach Medical Clinic LLC

Organization Family Medicine Physician · NPI 1114948825

Crystal Beach Medical Clinic LLC is a Family Medicine Physician 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
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