Individual
COURTNEY ABIGAIL BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13223 CHAMPIONS CENTRE DR, HOUSTON, TX 77069-2338
(832) 666-1302
Mailing address
13223 CHAMPIONS CENTRE DR, HOUSTON, TX 77069-2338
(832) 666-1302
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002086452
VA
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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