Individual
PAUL W. BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
(832) 355-6500
Mailing address
6720 BERTNER AVE STE O-520, HOUSTON, TX 77030-2604
(832) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J5709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136090109
—
TX
05
—
136090110
—
TX
Enumeration date
07/28/2005
Last updated
02/22/2023
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