Individual
BRAD M BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127390602
—
TX
Enumeration date
01/24/2006
Last updated
09/06/2023
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