Brock, Gary T
Brock, Gary T is an sole proprietor health care provider with primary practice located at 7401 South Main St , Houston TX 77030-4509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Brock, Gary T can be contacted via phone (713) 799-2300.Contact Information
Primary practice address
7401 South Main St
Houston TX 77030-4509
Phone: (713) 799-2300
Fax: (713) 794-0283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | H0211 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | H0211 | Texas |
Profile Details
| NPI number | 1891783304 |
|---|---|
| LBN Legal business name | Brock, Gary T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jun 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891783304 | NPPES |
| Texas | MEDICAID | 134889802 |
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