| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JANA JOHNSON BROCK | 1124121108 | 2023-02-12 |
Jana Johnson Brock [F] graduated in 2005 from University Of Texas Medical School At Houston and primarily specializes in Family Medicine.
Jana Johnson Brock is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124121108. Registration indicates Jana Johnson Brock is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine (Family Medicine: Sports Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine Sports Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, )
| PECOS ID | 3375610520 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jana Johnson Brock MD |
| Practice Office Address | 3108 W STATE HIGHWAY 22 CORSICANA, TX US |
| Practice Office Telephone | 6608337554 |
| Mailing Address | 3108 W STATE HIGHWAY 22 CORSICANA, TX 751102435 US |
| AMR direct address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 207QS0010X PRIMARY | Allopathic & Osteopathic Physicians Family Medicine Family Medicine: Sports Medicine Primary Care/Family Planning/APRN/PA Family Medicine Sports Medicine Allopathic & Osteopathic Physicians Family Medicine | P0011
TX |