Richard John Brock, CRNA | |
700 Walter Reed Blvd, Suite 305, Garland, TX 75042-3701 | |
(972) 276-6100 | |
(972) 276-1231 |
Full Name | Richard John Brock |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 700 Walter Reed Blvd, Garland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790844793 | NPI | - | NPPES |
002831802 | Medicaid | TX | |
470862522 | Other | TX | TAX ID |
S28032 | Other | TX | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 512613 (Texas) | Primary |
Entity Name | Garland Anesthesia Consultants, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710047840 PECOS PAC ID: 1052300100 Enrollment ID: O20040512000580 |
Entity Name | Orchid Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861975518 PECOS PAC ID: 2860731270 Enrollment ID: O20190301001590 |
Mailing Address | Practice Location Address |
---|---|
Richard John Brock, CRNA 1817 Burning Tree Ln, Plano, TX 75093-2817 Ph: (972) 276-6100 | Richard John Brock, CRNA 700 Walter Reed Blvd, Suite 305, Garland, TX 75042-3701 Ph: (972) 276-6100 |
Jasper Michael Neuse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Walter Reed Blvd, Ste.302, Garland, TX 75042 Phone: 972-276-6100 | |
Rebecca Lynn Snapp, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Walter Reed Blvd, Suite 305, Garland, TX 75042 Phone: 972-276-6100 Fax: 972-276-1231 | |
Leopoldo Arturo Pacheco, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2402 Hedgeway Cir, Garland, TX 75044 Phone: 972-496-6449 Fax: 972-496-6406 | |
John H. Day, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Walter Reed Blvd, Suite 305, Garland, TX 75042 Phone: 972-276-6100 Fax: 972-276-1231 | |
Mr. Glenn Eugene Cochrane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3930 Naaman School Rd Ste B, Garland, TX 75040 Phone: 903-342-5227 |