DR. PRESLEY JOE MOCK JR. (NPI# 1922073816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922073816 |
| Entity Type | Individual |
| Full Name | DR. PRESLEY JOE MOCK JR. |
| Credential | M.D. |
| Practice Address |
1200 Highway 146 S Suite 250 La Porte TX 77571-6131 |
| Practice Telephone | 2814710130 |
| Practice Fax Number | 2818679241 |
| Mailing Telephone | 2814710130 |
| Mailing Fax Number | 2818679241 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D1740 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | UNITED HEALTHCARE | 01-00074 | 01 |
| TX | 136439001 | 05 | |
| TX | CIGNA HEALTHCARE OF TEXAS | 2959537008 | 01 |
| TX | RAILROAD MEDICARE | 010064385 | 01 |
| TX | AETNA HEALTHCARE | 4594929 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 00H535 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013963172 | Presley M. Mock | Otolaryngology | 8440 Walnut Hill Ln, Ste 500, Dallas, TX 75231-3833 | 2006-05-26 |
| Street Address |
1200 HIGHWAY 146 S SUITE 250 |
| City | LA PORTE |
| State | TX |
| Zip Code | 77571-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770693715 | Timothy John Rodgers | Dentist | 1200 Highway 146 S, Suite 255, La Porte, TX 77571-6131 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831159 | Ml - La Porte, LLC | Skilled Nursing Facility | 3950 Underwood Rd, La Porte, TX 77571 | 2020-04-29 |
| 1487205779 | Deborah Martin | Technician | 1006 Shell Rock Rd, La Poete, TX 77571 | 2019-09-27 |
| 1871899815 | Jamie Lee Anderson | Chiropractor | 1003 S. Broadway St., La Porte, TX 77571 | 2011-02-09 |
| 1700064292 | Pediatric Clinic of Laporte | Pediatrics | 10407 West Fairmont Parkway, Suite B, Laporte, TX 77571 | 2008-02-06 |
| 1518172188 | Larry Alan Ward | Chiropractor | 10335 Shell Rock, La Porte, TX 77571 | 2007-05-14 |
| 1720125008 | Victor Alvarado | Dentist | 400 W Fairmont Pkwy, La Porte, TX 77571 | 2007-01-30 |
| 1417042904 | Cynthia A Bowles | Physician Assistant | 3414 Hwy 146 S, La Porte, TX 77571 | 2006-10-03 |
| 1659473809 | Rahman Sahadat Uddin | Pediatrics | 10407 W Fairmont Pkwy, Ste B, La Porte, TX 77571 | 2006-09-01 |
| 1306950225 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 5205 Meadowplace, La Porte, TX 77571 | 2006-08-18 |
| 1275647190 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 9734 Shellrock Rd, La Porte, TX 77571 | 2006-08-18 |
| Find all providers in zip 77571 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275091977 | James Sprecher | Family Medicine | 115 Nilewood Dr, La Porte, IN 46350-2816 | 2019-03-12 |
| 1053453365 | James A Serwatka | Family Medicine | 400 Teagarden, Community Health Center, La Porte, IN 46350 | 2007-02-13 |
| 1295744175 | John E Rogers | Family Medicine | 502 Legacy Plz W, La Porte, IN 46350-5254 | 2006-08-07 |
| 1447275201 | Rakesh Patel | Family Medicine | 10611 W Fairmont Pkwy, La Porte, TX 77571-6006 | 2006-07-13 |
| 1750319505 | Robert Bruce Mcclure | Family Medicine | 900 I St Fl 2, La Porte, IN 46350 | 2006-06-29 |
| 1871555052 | Abdul R Moosa | Family Medicine | 401 West Fairmont Parkway, Suite # D, La Porte, TX 77571-6305 | 2006-04-04 |
| 1992794879 | Clayton Bert Alexander | Family Medicine | 300 Wile Street, Suite 1, La Porte, IN 46350 | 2005-10-14 |
| 1841284007 | Suzanne Marie Schafer | Family Medicine | 1005 S. Broadway St., La Porte, TX 77571 | 2005-09-02 |
| 1649272907 | Robert D Johnston | Family Medicine | 11006 Spencer Hwy, La Porte, TX 77571 | 2005-06-01 |
| 1619239795 | Philip Patrick Maher | Family Medicine | 900 I St, La Porte, IN 46350-5533 | 2012-06-13 |
| Find all providers in LA PORTE | ||||
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| 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.