| Dale Wayne Brock, APN | |
|
2718a N Main St, Liberty, TX 77575-3909 | |
| (936) 336-3616 | |
| Not Available |
| Full Name | Dale Wayne Brock |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 2718a N Main St, Liberty, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922055292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 603165 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 603165 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Above Us Inc | Liberty, TX | Home health agency |
| Riceland Medical Center | Winnie, TX | Hospital |
| Liberty Dayton Regional Medical Center | Liberty, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winnie Community Hospital Llc | 3375440894 | 21 |
| Liberty County Hospital District No. 1 | 3678766227 | 17 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Liberty County Hospital District No.1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528367356 PECOS PAC ID: 3678766227 Enrollment ID: O20160919002678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Wayne Brock, APN 2718a N Main St, Liberty, TX 77575-3909 Ph: (936) 336-3616 | Dale Wayne Brock, APN 2718a N Main St, Liberty, TX 77575-3909 Ph: (936) 336-3616 |
Jenny Glenn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 N Travis St, Liberty, TX 77575 Phone: 936-336-9175 Fax: 936-336-8581 | |
Ruth Teague, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2718 N Main St, Liberty, TX 77575 Phone: 936-336-3616 | |
Ms. Letha Ferguson, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 723 Main St, Liberty, TX 77575 Phone: 936-253-8911 | |
Mrs. Veronica Renee Roth, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Main St, Liberty, TX 77575 Phone: 936-776-4517 Fax: 936-253-8910 | |
Tracy Mathews Allen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1343 County Road 2005, Liberty, TX 77575 Phone: 936-298-3088 Fax: 936-298-1986 | |
Steven Wayne Branham, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1353 N Travis St, Liberty, TX 77575 Phone: 936-336-7316 Fax: 936-336-5947 | |
Mrs. Susan D. Clark, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1353 N Travis St, Liberty, TX 77575 Phone: 936-336-5881 |