| Irvin P. Brock Iii, M.d., P.a. | |
|
160 Creekside Park Suite 202 Bulverde TX 78163 | |
| (830) 438-4788 | |
| Not Available |
| Full Name | Irvin P. Brock Iii, M.d., P.a. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 160 Creekside Park, Bulverde, Texas |
| Authorized Official Name and Position | Irvin Pete Brock (PRESIDENT) |
| Authorized Official Contact | 8304384788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvin P. Brock Iii, M.d., P.a. 320 Fossil Hills Loop Spring Branch TX 78070-6012 Ph: (830) 885-2193 | Irvin P. Brock Iii, M.d., P.a. 160 Creekside Park Suite 202 Bulverde TX 78163 Ph: (830) 438-4788 |
| NPI Number | 1033145123 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033145123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | M1535 (Texas) | Primary |
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