IRVIN P. BROCK III, M.D., P.A.


Address: 160 Creekside Park, Suite 202, Bulverde, TX 78163
Phone: 8304384788

IRVIN P. BROCK III, M.D., P.A. (NPI# 1033145123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033145123
Entity Type Organization
Organization Name IRVIN P. BROCK III, M.D., P.A.
Practice Address 160 Creekside Park
Suite 202
Bulverde
TX 78163
Mailing Address 320 Fossil Hills Loop
Spring Branch
TX 78070-6012
Practice Telephone 8304384788
Mailing Telephone 8308852193
Enumeration Date 2006-06-23
Last Update Date 2020-08-22
Authorized Official Name DR. IRVIN PETE BROCK III (PRESIDENT)
Authorized Official Telephone 8304384788
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
M1535 TX Ambulatory Health Care Facilities

Office Location

Street Address 160 CREEKSIDE PARK
SUITE 202
City BULVERDE
State TX
Zip Code 78163

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1386872224 American D.m.e. Durable Medical Equipment & Medical Supplies 31199 Beck Rd, San Antonio, TX 78163 2009-06-30
1104050061 Claudio Constantino Toledo Emergency Medicine 19851 Highway 46 W, Ste 201, Spring Branch, TX 78163 2009-05-07
1285842674 Scott Gorden Stafford Dds PC Dentist 30695 North Highway 281, Bulverde, TX 78163 2007-05-18
1750410270 Glen I. Feinstein, Md, Pa Specialist 32665 Highway 281 N, Suite 210, Bulverde, TX 78163 2007-03-02
1134290489 Leoncio Garza Dentist 30070 Hwy 281, Suite 200, Bulverde, TX 78163 2006-11-10
1235231507 Jason Richard Hahn Chiropractor 32635 Hwy 281 North, #100, Bulverde, TX 78163 2006-09-05
1932104916 Chanel Janes Wilkinson Nurse Practitioner 32665 Hwy281 N, Ste 100, Bulverde, TX 78163 2005-06-16
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City BULVERDE
Zip Code 78163

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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