Individual
DR. ERIC RANDALL BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 W HUBBARD ST, MINERAL WELLS, TX 76067-4852
(940) 325-7900
(940) 325-7905
Mailing address
715 W HUBBARD ST, MINERAL WELLS, TX 76067-4852
(940) 325-7900
(940) 325-7905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N4311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208674601
—
TX
Enumeration date
08/27/2007
Last updated
03/06/2020
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