TRINITY VALLEY CLINIC
NPI 1013364710
Nurse Practitioner in Liberty, TX

Q: What is Dale W Brock's NPI number?

The NPI number for Dale W Brock is 1013364710. It was assigned to this organization in the NPPES registry on May 23, 2016. The provider is doing business as Trinity Valley Clinic.

Q: What is Dale W Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dale W Brock was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2016

2800 BEAUMONT AVE, SUITE A, LIBERTY, TX 77575(936) 336-3100(936) 336-3102 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Trinity Valley Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY VALLEY CLINIC (NPI 1013364710) is a healthcare organization registered as a nurse practitioner in Liberty, Texas and active in the NPI registry since May 2016. The organization lists Dale W Brock, Owner, as its authorized official.

NPPES Registry Identity

NPI1013364710

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameDALE W BROCK

Location Address2800 BEAUMONT AVE, SUITE ALiberty, TX 77575-5126

Mailing Address2800 Beaumont Ave, Suite ALiberty, TX 77575-5126 · (936) 336-3100 · Fax (936) 336-3102

Phone(936) 336-3100

Fax(936) 336-3102

Organization SubpartNo

Authorized OfficialDale W BrockOwner · (936) 336-3100

Enumeration DateMay 23, 2016

✔ NPI 1013364710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 603165

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2800 BEAUMONT AVE, Liberty, TX 77575

Open in Google Maps ↗

Other Names 1

Doing Business AsTrinity Valley Clinic

Other Identifiers 2

Medicare PIN8F2993TX

Medicare UPINP41475TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RUBY SMITH LCDC

Counselor (Addiction (Substance Use Disorder))

2800 BEAUMONT AVE
LIBERTY, TX 77575

Liberty County (936) 776-2979

MRS. JESSICA MARIE STANLEY LCDC

Counselor (Addiction (Substance Use Disorder))

2800 BEAUMONT AVE, STE. D-1
LIBERTY, TX 77575

Liberty County (936) 776-2979

QUALITY CARE PLUS LLC

Nurse Practitioner (Primary Care)

2800 BEAUMONT AVE, SUITE A
LIBERTY, TX 77575

Liberty County (409) 599-6461

PATRICIA ROLLINS

Counselor (Addiction (Substance Use Disorder))

2800 BEAUMONT AVE, SUITE D1
LIBERTY, TX 77575

Liberty County (855) 862-3278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale W Brock's NPI number?

The NPI number for Dale W Brock is 1013364710. It was assigned to this organization in the NPPES registry on May 23, 2016. The provider is doing business as Trinity Valley Clinic.

Where is Dale W Brock located?

Dale W Brock is located at 2800 Beaumont Ave Suite A, Liberty, TX 77575. The listed phone number is (936) 336-3100.

What is Dale W Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dale W Brock was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.