Brandon Raymond Brock in Southlake - Nurse Anesthetist, Certified Registered
Brandon Raymond Brock - NPI 1225209240
Brandon Raymond Brock is a Nurse Anesthetist, Certified Registered in Southlake, Texas. Brandon Raymond Brock practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Brandon Raymond Brock is 1225209240. The last update date is 2016-05-22.
Brandon Raymond Brock's current location address is 1011 Brazos Dr, Southlake, Texas. You can contact this provider via phone number 2256102051. The mailing address for Brandon Raymond Brock is 1011 Brazos Dr, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Raymond Brock |
|---|---|
| Address | 1011 Brazos Dr, Southlake, Texas |
| Phone Number | 2256102051 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1225209240 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2016-05-22 |
Provider Mailing Address Detail
| Address | 1011 Brazos Dr |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760926027 |
| Phone Number | 2256102051 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 94793 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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What is the unique 10-digit identifier code issued to Brandon Raymond Brock by the Centers for Medicare & Medicaid Services?
The Brandon Raymond Brock has been assigned the NPI (National Provider Identifier) 1225209240 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brandon Raymond Brock's physical address?
The Brandon Raymond Brock is physically located at 1011 Brazos Dr, in the city of Southlake, TX, with the postal code 760926027.
What is Brandon Raymond Brock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brandon Raymond Brock's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225209240 to Brandon Raymond Brock?
The Centers for Medicare & Medicaid Services assigned the 1225209240 to Brandon Raymond Brock on 2008-03-18.
When was the information regarding Brandon Raymond Brock most recently updated?
The details pertaining to the Brandon Raymond Brock, including its address, specialty, and other relevant information, were last refreshed on 2016-05-22.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA