Bobby Charles Brock in San Antonio - Family Medicine
Bobby Charles Brock - NPI 1881790657
Bobby Charles Brock is a Family Medicine in San Antonio, Texas. Bobby Charles Brock practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bobby Charles Brock is 1881790657. The last update date is 2018-05-30.
Bobby Charles Brock's current location address is 8711 Village Dr Ste 114, San Antonio, Texas. You can contact this provider via phone number 8307439192 and fax number 8307439193. The mailing address for Bobby Charles Brock is 8711 Village Dr Ste 114, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bobby Charles Brock |
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Address | 8711 Village Dr Ste 114, San Antonio, Texas |
Phone Number | 8307439192 |
Fax Number | 8307439193 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1881790657 |
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Provider Enumeration Date | 2006-09-16 |
Last Updated Date | 2018-05-30 |
Provider Mailing Address Detail
Address | 8711 Village Dr Ste 114 |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782175419 |
Phone Number | 8307439192 |
Fax Number | 8307439193 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | H5753 |
Definition: 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 i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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H5753 | TX | TX LICENSE | |
PO1477395 | TX | RR MEDICARE | |
139144317 | TX | -- |
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What is the unique identification code assigned to Bobby Charles Brock by the Centers for Medicare & Medicaid Services?
The Bobby Charles Brock has been issued the NPI (National Provider Identifier) 1881790657. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bobby Charles Brock's physical address?
The Bobby Charles Brock is physically located at 8711 Village Dr Ste 114, in the city of San Antonio, TX, with the postal code 782175419.
What is Bobby Charles Brock'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 Bobby Charles Brock is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881790657 to Bobby Charles Brock?
The Bobby Charles Brock received its 1881790657 assignment from the Centers for Medicare & Medicaid Services on 2006-09-16.
As of what date were the details related to Bobby Charles Brock most recently updated or revised?
The information pertaining to Bobby Charles Brock, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-30.