Crockett Medical Center, Llc is a Family Medicine Clinic in Crockett, Texas. It is situated at 1050 E Loop 304, Crockett and its contact number is 936-546-3890. The authorized person of Crockett Medical Center, Llc is Kelly Eugene Tjelmeland
who is Ceo of the clinic and their contact number is 512-617-7500.
Crockett Medical Center, Llc Clinic Family 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 family medicine is not limited by age, sex, organ system, or disease entity.
Complete Profile:
Crockett Medical Center, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Family Medicine |
| Clinic Address: | 1050 E Loop 304, Crockett,
Texas, 75835 |
| Phone: | 936-546-3890 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Kelly Eugene Tjelmeland |
| Position: | Ceo |
| Contact Number: | 512-617-7500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Crockett Medical Center, Llc Clinic are as mentioned below.
| NPI Number: | 1487155990 |
| NPI Enumeration Date: | 21 Feb, 2018 |
| NPI Last Update On: | 28 Aug, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crockett Medical Center, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | Texas | Primary | |
| Internal Medicine | | Texas | Secondary | |
| Cardiovascular Disease | | Texas | Secondary | |
| Interventional Cardiology | | Texas | Secondary | |
| Orthopaedic Surgery | | Texas | Secondary | |
| Urology | | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 385139603 | Medicaid | Texas | |
| 385139602 | Medicaid | Texas | |
| 385139601 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Crockett Medical Center, Llc
4220 Bull Creek Rd,
Austin, Texas |
| Zip: | 78731-6026 |
| Phone Number: | 512-617-7500 |
Patients can reach Crockett Medical Center, Llc at
1050 E Loop 304, Crockett, Texas or can
call to book an appointment on 936-546-3890.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.