Individual
MELISSA ELAINE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2911 MEDICAL ARTS ST STE 10, AUSTIN, TX 78705-3302
(866) 473-0663
Mailing address
2911 MEDICAL ARTS ST STE 10, AUSTIN, TX 78705-3302
(866) 473-0663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144817
TX
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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