Brock, Sandra Ann
Brock, Sandra Ann is an sole proprietor health care provider with primary practice located at 2927 Shiloh Dr , Missouri City TX 77459-4935. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brock, Sandra Ann can be contacted via phone (281) 438-0585.Contact Information
Primary practice address
2927 Shiloh Dr
Missouri City TX 77459-4935
Phone: (281) 438-0585
Fax: (281) 438-0595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27130 | Texas |
Profile Details
| NPI number | 1295742963 |
|---|---|
| LBN Legal business name | Brock, Sandra Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | May 19th, 2008 - about 16 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 | 1295742963 | NPPES |
| Texas | MEDICAID | 037740001 |
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