Individual
DR. IRVIN PETE BROCK III
Active
Individual
DR. IRVIN PETE BROCK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
M1535
TX
2084P0805X
Geriatric Psychiatry Physician
Primary
M1535
TX
Other
Enumeration date
07/26/2005
Last updated
06/12/2016
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