Doctor Name: | KAREN BROCK |
NPI Number: | 1033123781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM, WHNP |
License Number: | 516186 |
Business Practice Address: | 9200 Pinecroft Dr Suite 400 Shenandoah, TX - 773803279 |
Business Phone Number: | 2817825651 |
Business Fax Number: | |
Mailing Address: | 9200 Pinecroft Dr, Suite 400 SHENANDOAH |
State: | TX |
Postal Code: | 773803279 |
Phone Number: | 2817825651 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 516186 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |