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NPI Code Detail

MEDICARE: DR. JOHN SCHROCK JR. DO

MEDICARE: DR. JOHN SCHROCK JR. DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1619553005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN SCHROCK JR. DO
Provider Business Mailing Address
First Line : 6445 MAIN ST STE 2500
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1502
Country : US
Telephone Number : 713-441-3892
Fax Number : 713-793-7107
Provider Business Practice Location Address
First Line : 5131 BEACON HILL RD STE 160
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-4441
Country : US
Telephone Number : 614-544-1837
Fax Number : 614-544-2816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 03/16/2026

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