Individual
BROCK ADAM KAROLCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6651 MAIN ST, HOUSTON, TX 77030-2351
(328) 243-2788
Mailing address
1 BAYLOR PLZ, HOUSTON, TX 77030-3411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
82638
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801623
TEXAS PHYSICIAN-IN-TRAINING PERMIT
TX
01
—
82638
SC LIMITED MD LICENSE (SC MDLL)
SC
Enumeration date
06/03/2019
Last updated
03/25/2025
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