LOU RANDALL LOCKE

ORANGE, TX
NPI1659741957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP128352)
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
-- LOU RANDALL LOCKE FNP
3838 W PARK AVE
ORANGE, TX 77630-1812
Phone number: 409-882-4705
Mailing Address
-- LOU RANDALL LOCKE FNP
3838 W PARK AVE
ORANGE, TX 77630-1812
Phone number: 409-882-4705