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Individual
DR. MIKE L LOCKLEAR
Active
Individual
DR. MIKE L LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F1755
TX
208D00000X
General Practice Physician
Primary
F1755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092049801
—
TX
05
—
092049802
—
TX
01
—
118000100
FIRSTCARE
TX
01
—
121567
CHIPS
TX
05
—
130308303
—
TX
01
—
4513443
AETNA
TX
01
—
751839268001
TRICARE/CHAMPUS
TX
01
—
93842
SCOTT & WHITE HEALTH PLAN
TX
Enumeration date
05/05/2006
Last updated
08/29/2013
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