Organization
CEDAR CREST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MARIE BROCK LPC, LCDC, ATR (CLINICAL THERAPIST)
(254) 833-0781
Entity
Organization
Contact information
Practice address
3500 S IH 35, BELTON, TX 76513-9426
(254) 939-4074
Mailing address
3500 S IH 35, BELTON, TX 76513-9426
(254) 939-4074
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
101Y00000X
TX
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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