Brock, Donche Tromaine
Brock, Donche Tromaine is an individual health care provider with primary practice located at 1304 Brynlee Ln , Mansfield TX 76063-2038. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Brock, Donche Tromaine can be contacted via phone (225) 445-1921.Contact Information
Primary practice address
1304 Brynlee Ln
Mansfield TX 76063-2038
Phone: (225) 445-1921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | NA | Texas |
Profile Details
| NPI number | 1346900420 |
|---|---|
| LBN Legal business name | Brock, Donche Tromaine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2021 |
| Last updated | Dec 30th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346900420 | NPPES |
| Texas | MEDICAID | NA |
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