# CARLOCK ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARLOCK ENTERPRISES LLC
- **Other names:** Carlock Family Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649524257
- **Legal business name:** CARLOCK ENTERPRISES LLC
- **Authorized official:** MR. VICTOR VANCE CARLOCK NP (PROVIDER / OWNER)
- **Authorized official phone:** (337) 238-5180

## Contact information

- **Practice address:** 1100 NOLAN TRACE, LEESVILLE, LA 71446
- **Practice address phone:** (337) 238-5180
- **Practice address fax:** (318) 759-0828
- **Mailing address:** 1100 NOLAN TRACE, LEESVILLE, LA 71446
- **Mailing address phone:** (337) 238-5180
- **Mailing address fax:** (337) 238-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | LA | Yes |
| 363L00000X | Nurse Practitioner | — | LA | — |
| 363LF0000X | Family Nurse Practitioner | — | LA | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | LA | — |

## Other

- **Enumeration date:** 11/05/2012
- **Last updated:** 05/20/2025