Jeremiah Brack, PA-C
NPI 1366835068 · Physician Assistant · Flower Mound, TX
Jeremiah Brack, PA-C is a Physician Assistant provider in Flower Mound, TX (NPI 1366835068).
Provider details
- NPI number
- 1366835068
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA12666 (TX)
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-05
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.