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Individual

BROCK WADE MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CFNP

Contact information

Practice address
2410 N FOWLER ST, HOBBS, NM 88240-2312
(575) 392-2040
(575) 392-6752
Mailing address
2410 N FOWLER ST, HOBBS, NM 88240-2312
(575) 392-2040
(575) 392-6752

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02232
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
79157
COMPACT RN LICENSE
TX
01
CNP-02232
MEDICAL LICENSE
NM
Enumeration date
07/10/2013
Last updated
10/08/2013
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