Organization
IRVIN P. BROCK III, M.D., P.A.
Active
Organization
IRVIN P. BROCK III, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVIN PETE BROCK III MD (PRESIDENT)
(830) 438-4788
Entity
Organization
Contact information
Practice address
160 CREEKSIDE PARK, SUITE 202, BULVERDE, TX 78163
(830) 438-4788
Mailing address
320 FOSSIL HILLS LOOP, SPRING BRANCH, TX 78070-6012
(830) 885-2193
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
M1535
TX
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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