Brock, Dale Wayne

Brock, Dale Wayne is an sole proprietor health care provider with primary practice located at 2718A N Main St , Liberty TX 77575-3909. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Brock, Dale Wayne can be contacted via phone (936) 336-3616.

Contact Information

Primary practice address
2718A N Main St Liberty TX 77575-3909
Phone: (936) 336-3616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 603165 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 603165 Texas

Profile Details

NPI number 1922055292
LBN Legal business name Brock, Dale Wayne
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Jul 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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