Elyse Lynn Brack, PA-C

Physician Assistant · Beaumont, TX

Individual Active NPI

NPI number 1235486036

Practice location

4 Bayou Brandt
Beaumont, TX 77706-2612
Phone
(409) 600-2003
Fax
(832) 753-7548

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NPI record

NPI
1235486036
Entity type
Individual (Type 1)
Enumeration date
August 10, 2012
Last updated
July 31, 2026
Certified
July 31, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA07970 TX

Mailing address

4747 Bellaire Blvd Ste 225
Bellaire, TX 77401-4532
Phone
(832) 753-7546
Fax
(832) 753-7548

Other practice locations (2)

  • 4747 Bellaire Blvd Ste 225, Bellaire, TX 77401-4532 · (832) 753-7546
  • 1108 Marvin Hancock Dr, Jasper, TX 75951 · (409) 600-2003

About Elyse Brack

Elyse Lynn Brack, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4 Bayou Brandt, Beaumont, TX 77706-2612. The NPI number 1235486036 was assigned on August 10, 2012 and the record was last updated on July 31, 2026.

Elyse Brack lists a license in the registry: #PA07970 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elyse Lynn Brack, PA-C?

The NPI number is 1235486036.

What is the phone number of Elyse Brack?

The phone number listed for the practice location is (409) 600-2003.

Where is Elyse Brack located?

4 Bayou Brandt, Beaumont, TX 77706-2612.

What is the taxonomy code for Elyse Brack?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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