Provider Demographics
NPI:1558473090
Name:HOCK, BRENDA (MSN, RNC, PNP)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:HOCK
Suffix:
Gender:F
Credentials:MSN, RNC, PNP
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:MICHIE
Other - Last Name:HOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7200 STATE HIGHWAY 161
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2804
Mailing Address - Country:US
Mailing Address - Phone:972-331-7200
Mailing Address - Fax:972-331-7201
Practice Address - Street 1:7200 STATE HIGHWAY 161
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2804
Practice Address - Country:US
Practice Address - Phone:972-331-7200
Practice Address - Fax:972-331-7201
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX512951363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics