BRENT LOCKETT

WYLIE, TX
NPI1619457223
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: TX  1162941)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
BRENT LOCKETT
1726 MAPLELEAF DR
WYLIE, TX 75098-8166
Phone number: 214-471-8936
Mailing Address
BRENT LOCKETT
1726 MAPLELEAF DR
WYLIE, TX 75098-8166
Phone number:
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