| Organization Name: | MID-COUNTY FAMILY CARE PLLC |
| NPI Number: | 1487052320 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL AUCOIN (OFFICE MANAGER) |
| Mailing Address: | 882 Sierra Dr Port Neches |
| State: | TX US |
| Postal Code: | 776515607 |
| Phone Number: | 4097221234 |
| Fax Number: | 4097223270 |
| NPI Enumeration Date: | 12/09/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 684913 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |