Individual
DR. LEE A. BROCK
Active
Individual
DR. LEE A. BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H3856
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H3856
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
H3856
TX
208VP0014X
Interventional Pain Medicine Physician
H3856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135571103
—
TX
05
—
135571104
—
TX
05
—
135577109
—
TX
01
—
83875K
BCBS
TX
Enumeration date
12/23/2005
Last updated
02/14/2020
Update your record
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