DR. Brock James Niceler, MD

NPI #1164608113 in Waco, Texas

Provider Information

NPI Number: 1164608113
Entity Type: Individual
Name: DR. Brock James Niceler, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 20, 2008
Last Updated: Feb 11, 2019

Practice Location

Address: 1600 PROVIDENCE DR
City: Waco
State: Texas
ZIP Code: 76707-2261
Phone: (254) 313-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X

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