| NPI | 1013364710 |
|---|---|
| Doing Business As | TRINITY VALLEY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DALE W BROCK Owner 936-336-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 603165) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |