Organization
ERIC BROCK, MD, ORTHOPEDIC SURGERY, PA
Active
Other names
Brock Orthopedic Surgery and Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BROCK MD (OWNER)
(940) 325-7900
Entity
Organization
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
332B00000X
Durable Medical Equipment & Medical Supplies
N4311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208673801
—
TX
01
—
6427870001
DME-CIGNA GOVT SERVICES
TX
Enumeration date
09/30/2009
Last updated
06/30/2020
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