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Brock C Street, PA-C
Physician Assistant in Fort Worth, Texas
NPI 1043759731

Brock C Street is a Physician Assistant based in Dallas, TX. Brock C Street practices in Fort Worth, TX and has the professional credentials of PA-C. The NPI Number for Brock C Street is 1043759731 and holds a License No. PA11072 (Texas).

The current practice location address for Brock C Street is 1500 Cooper St, Fort Worth, TX and can be reached out via phone at 682-885-7080 and via fax at 682-885-7085.

Location: 1500 Cooper St, Fort Worth, TX, 75373-3784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043759731
Provider Name
Brock C Street
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1500 Cooper St, Fort Worth, TX, 75373-3784
Phone Number
682-885-7080
Fax Number
682-885-7085
Provider Enumeration Date
02/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Cooper St
City
Fort Worth
State
Texas
Zip
76104-2710
Phone Number
682-885-7080
Fax Number
682-885-7085
person
Provider Business Mailing Address Details
Address
1500 Cooper St
City
Fort Worth
State
Texas
Zip
76104-2710
Phone Number
682-885-7080
Fax Number
682-885-7085
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA11072 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA11072 (Texas)
Definition
Definition to come...
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