Individual
GARY T BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7401 SOUTH MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-0283
Mailing address
7401 SOUTH MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-0283
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H0211
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
H0211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134889802
—
TX
Enumeration date
10/10/2005
Last updated
06/20/2022
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