Individual
DR. BRANDON L BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3105 W 15TH ST, SUITE B, PLANO, TX 75075-7700
(972) 769-1600
(972) 612-3473
Mailing address
7610 STEMMONS FWY, SUITE 500, DALLAS, TX 75247-4231
(214) 689-5960
(214) 630-7293
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F1394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113978403
—
TX
01
—
84Y120
BCBSTX
TX
Enumeration date
03/21/2006
Last updated
05/17/2010
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