NPI 1013142199

Steve D Prock, CPO

Practitioner Prosthetist Plano, TX

Practice location

Address: 3801 W 15th St STE 155, Plano, TX 75075-7752
Phone: (972) 596-7909

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence LPO 34 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence LPO 34 (TX)

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Registry record

NPI: 1013142199
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2009
Record last updated: 19 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.