Individual
JOSEPH CRAIG BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
5700 DURRETT PL, AMARILLO, TX 79109-7105
(806) 670-0252
Mailing address
5700 DURRETT PL, AMARILLO, TX 79109-7105
(806) 670-0252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1092
TX
Other
Enumeration date
09/09/2014
Last updated
10/21/2021
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