Individual
JEREMY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT, RCP
Contact information
Practice address
8415 DATAPOINT DR., PARALLON WORKFORCE MANAGEMENT SOLUTIONS, SAN ANTONIO, TX 78229
(210) 593-0570
Mailing address
105 PHEASANT RIDGE DR, WARNER ROBINS, GA 31088-6563
(478) 955-9370
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
76227
TX
2279C0205X
Critical Care Registered Respiratory Therapist
76627
TX
2279E0002X
Emergency Care Registered Respiratory Therapist
76227
TX
2279E1000X
Educational Registered Respiratory Therapist
76227
TX
2279G1100X
General Care Registered Respiratory Therapist
76227
TX
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
76227
TX
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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