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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