Doctor Name: | DR. JOEL BRANDON BROCK |
NPI Number: | 1720125305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C, DC |
License Number: | 8026 |
Business Practice Address: | 105 Decker Ct Suite 120 Irving, TX - 750622767 |
Business Phone Number: | 2147718885 |
Business Fax Number: | 9727711648 |
Mailing Address: | 2345 N Houston St Apt 606, DALLAS |
State: | TX |
Postal Code: | 752197633 |
Phone Number: | 2147284314 |
Fax Number: | 9728123030 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 8026 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |