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Individual

STEVE D PROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
3801 W 15TH ST STE 155, PLANO, TX 75075-7752
(972) 596-7909
Mailing address
3801 W 15TH ST STE 155, PLANO, TX 75075-7752
(972) 596-7909

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO 34
TX
224P00000X
Prosthetist
Primary
LPO 34
TX

Other

Enumeration date
05/19/2009
Last updated
05/19/2009
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