| NPI | 1295105591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU RANDALL LOCKE, II Nurse Practitioner 409-882-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128352) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |