Patricia Charlene Laurie Brock, D.O. Valid NPI

Individual provider · Family Medicine Physician · Mansfield, TX

NPI

1689730996

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

K8029 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-12-29

Last updated

2007-07-08