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Individual
STEVEN BROCK
Active
Individual
STEVEN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F1405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128089306
—
TX
01
—
128089307
MEDICAID OTHER
TX
01
—
352082YL7A
MEDICARE - OTHER COUNTY
TX
Enumeration date
06/07/2006
Last updated
05/23/2016
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