Dale Wayne Brock, APN

NPI #1922055292 in Liberty, Texas

Provider Information

NPI Number
1922055292
Entity Type
Individual
Name
Dale Wayne Brock, APN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
APN
Enumeration Date
May 30, 2006
Last Updated
Jul 15, 2008

Practice Location

Address
2718A N MAIN ST
State
Texas
ZIP Code
77575-3909
Phone
(936) 336-3616

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner

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