Dale Wayne Brock in Liberty - Nurse Practitioner
Dale Wayne Brock - NPI 1922055292
Dale Wayne Brock is a Nurse Practitioner in Liberty, Texas. Dale Wayne Brock practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Dale Wayne Brock is 1922055292. The last update date is 2008-07-15.
Dale Wayne Brock's current location address is 2718a N Main St, Liberty, Texas. You can contact this provider via phone number 9363363616. The mailing address for Dale Wayne Brock is 2718a N Main St, Liberty, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Wayne Brock |
|---|---|
| Address | 2718a N Main St, Liberty, Texas |
| Phone Number | 9363363616 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1922055292 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
| Address | 2718a N Main St |
|---|---|
| City | Liberty |
| State | Texas (TX) |
| Post Code | 775753909 |
| Phone Number | 9363363616 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 603165 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique identifier code issued to Dale Wayne Brock by the Centers for Medicare & Medicaid Services?
The Dale Wayne Brock has been assigned the NPI (National Provider Identifier) 1922055292. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dale Wayne Brock is physically located?
The Dale Wayne Brock is physically situated at the following address: 2718A N Main St, Liberty, TX, 775753909.
What is the Dale Wayne Brock's specialty and taxonomy code?
The Dale Wayne Brock's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922055292 to Dale Wayne Brock?
The Centers for Medicare & Medicaid Services originally issued the 1922055292 to Dale Wayne Brock on 2006-05-30.
As of what date were the details pertaining to Dale Wayne Brock last refreshed?
The information related to the Dale Wayne Brock, including its address, specialty, and other relevant details, was last updated on 2008-07-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY