Individual provider · NPI-1

Courtney Abigail Brock

Licensed Practical Nurse · Houston, TX

NPI number1245897909
StatusActive
Last updated in NPPESMay 28, 2019

Details

NPI
1245897909
Entity type
Individual (NPI-1)
Name
Courtney Abigail Brock
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2019
Last updated
May 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse0002086452VAYes

Practice location

13223 Champions Centre Dr
Houston, TX 77069-2338

Phone 832-666-1302

Mailing address

13223 Champions Centre Dr
Houston, TX 77069-2338

Phone 832-666-1302

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Houston, TX