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Organization

RELIABLE FAMILY WELLNESS, P.L.L.C.

Active
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Organization

RELIABLE FAMILY WELLNESS, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOU RANDALL LOCKE, II FNP (NURSE PRACTITIONER)
(409) 882-4705
Entity
Organization

Contact information

Practice address
3838 W PARK AVE, ORANGE, TX 77630-1812
(409) 882-4705
(409) 886-5305
Mailing address
3838 W PARK AVE, ORANGE, TX 77630-1812
(409) 882-4705
(409) 886-5305

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128352
TX

Other

Enumeration date
09/29/2015
Last updated
09/29/2015
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