MR. PETER ANDREW BROCK (NPI# 1992298665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992298665 |
| Entity Type | Individual |
| Full Name | MR. PETER ANDREW BROCK |
| Credential | FNP-C |
| Practice Address |
11274 Mccombs St El Paso TX 79934-3455 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 9152422400 |
| Practice Fax Number | 9158222160 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | CNP-03600 | NM | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP137692 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13600 Horizon Blvd Ste 100, Horizon City, TX 799285810 | 9154077878 | 9158521804 |
| 1605 El Paseo Rd, Las Cruces, NM 880016010 | 5755235400 | 5755235401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255563490 | Peter Brock | Specialist/Technologist | 1201 Wesleyan Street, Fort Worth, TX 76105-1215 | 2009-08-21 |
| Street Address |
11274 MCCOMBS ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79934-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407805492 | Jeffrey Kent Holen | Emergency Medicine | 11274 Mccombs St, El Paso, TX 79934-3455 | 2006-05-08 |
| 1861994808 | Hcn Ep Horizon City, LLC | General Acute Care Hospital | 11274 Mccombs St, El Paso, TX 79934 | 2018-03-06 |
| 1033648589 | Anisha Malhotra | Emergency Medicine | 11274 Mccombs St, El Paso, TX 79934-3455 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1215493416 | Patriot Rehabilitation and Wellness Center LLC | Skilled Nursing Facility | 11490 Gateway North Blvd., El Paso, TX 79934 | 2019-02-13 |
| 1114409950 | Ricardo Macias | Physical Therapist | 11385 Cattle Ranch St., El Paso, TX 79934 | 2018-08-29 |
| 1124557582 | Maria Cristina Tollens | Registered Nurse | 11149 Loma Escondida Dr, El Paso, TX 79934 | 2017-06-08 |
| 1275915407 | Karla Durig | Day Training/Habilitation Specialist | 11609 Ochre Bluff Ln, El Paso, TX 79934 | 2015-06-24 |
| 1285919241 | Perri D Walter | Counselor | 4353 Loma De Brisas, El Paso, TX 79934 | 2011-10-20 |
| 1912203506 | Pm Management - El Paso I Nc LLC | Skilled Nursing Facility | 11169 Sean Haggerty, El Paso, TX 79934 | 2011-01-31 |
| 1487856761 | Louis E Zuniga | Physical Therapist | 4758 Loma Del Sur, Suite A, El Paso, TX 79934 | 2007-05-31 |
| 1023083789 | Aaron R Elliott | Registered Nurse | William Beaumont Army Medical Center, 5005 North Piedras St., El Paso, TX 79934 | 2006-02-17 |
| 1679076780 | Maday Cristina Lopez | Nurse Practitioner | 7305 Oriley Ln, El Paso, TX 79934-2220 | 2018-03-14 |
| Find all providers in zip 79934 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1568062172 | Cinthia B Gomez | Nurse Practitioner | 8401 Edgemere Blvd, El Paso, TX 79925-3922 | 2020-11-01 |
| 1407456072 | Aurora Nichole Apodaca | Nurse Practitioner | 748 Tepic Dr, El Paso, TX 79912-1704 | 2020-10-31 |
| 1043818412 | Ricardo Serrano | Nurse Practitioner | 4300 Bliss Ave, El Paso, TX 79903-1832 | 2020-10-16 |
| 1841897212 | Olivia Silva Juarez | Nurse Practitioner | 617 Paseo Hermoso Dr, El Paso, TX 79928-8419 | 2020-10-07 |
| 1609480540 | Norma M Vega | Nurse Practitioner | 6974 Gateway Blvd E Ste Y, El Paso, TX 79915-1118 | 2020-09-08 |
| 1952914087 | Danika Nikole Davila | Nurse Practitioner | 3270 Joe Battle Blvd Ste 245, El Paso, TX 79938-2651 | 2020-08-28 |
| 1841803095 | Joshua Neal Crawford | Nurse Practitioner | 10615 Sombra Verde Dr, El Paso, TX 79935-3612 | 2020-08-27 |
| 1902419294 | Belinda Esperanza Walker | Nurse Practitioner | 3405 Moonlight Ave, El Paso, TX 79904-1024 | 2020-08-26 |
| 1487264198 | Venessa Jean Tellez | Nurse Practitioner | 10800 Walden Pond St, El Paso, TX 79924-2407 | 2020-08-06 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.