Morris, Brock Wade

Morris, Brock Wade is an individual health care provider with primary practice located at 2410 N Fowler St , Hobbs NM 88240-2312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Morris, Brock Wade can be contacted via phone (575) 392-2040.

Contact Information

Primary practice address
2410 N Fowler St Hobbs NM 88240-2312
Phone: (575) 392-2040
Fax: (575) 392-6752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02232 New Mexico

Profile Details

NPI number 1306287024
LBN Legal business name Morris, Brock Wade
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Oct 8th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306287024 NPPES
Texas Other 79157 COMPACT RN LICENSE
Texas Other CNP-02232 COMPACT RN LICENSE

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