Julie Wynne Brock, CRNA
Nurse Anesthetist, Certified Registered in Houston, TX. Individual provider (NPI-1).
NPI number1184771925
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1184771925
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Julie Wynne Brock
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP108783 | TX | Yes |
Practice location
1500 Citywest BlvdSte. 300
Houston, TX 77042-2300
Phone 713-620-4000 · Fax 713-458-4229
Mailing address
Po Box 840853Dallas, TX 75284-0853
Phone 972-233-1999 · Fax 972-233-3666
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