John Edward Bock in Conroe - Specialist

John Edward Bock - NPI 1699771675

John Edward Bock is a Specialist in Conroe, Texas. John Edward Bock practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Edward Bock is 1699771675. The last update date is 2010-01-12.

John Edward Bock's current location address is 800 Riverwood Ct, Conroe, Texas. You can contact this provider via phone number 9369539119 and fax number 9365391183. The mailing address for John Edward Bock is 800 Riverwood Ct, Conroe, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Bock
Address 800 Riverwood Ct, Conroe, Texas
Phone Number 9369539119
Fax Number 9365391183
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1699771675
Provider Enumeration Date 2005-06-23
Last Updated Date 2010-01-12

Provider Mailing Address Detail

Address 800 Riverwood Ct
City Conroe
State Texas (TX)
Post Code 773042824
Phone Number 9369539119
Fax Number 9365391183

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G3979
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100079601 TX --

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FAQs about John Edward Bock

What is the unique 10-digit identifier code assigned to John Edward Bock by the Centers for Medicare & Medicaid Services?

The John Edward Bock has been issued the NPI (National Provider Identifier) 1699771675 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where John Edward Bock is physically located?

The John Edward Bock is physically situated at the following address: 800 Riverwood Ct, Conroe, TX, 773042824.

What is John Edward Bock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John Edward Bock is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did John Edward Bock receive its 1699771675 assignment from the Centers for Medicare & Medicaid Services?

The John Edward Bock was assigned its 1699771675 on 2005-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding John Edward Bock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Edward Bock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-12.

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