Individual
JENNIFER RAE LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1 SUGAR CREEK LN STE 618, SUGAR LAND, TX 77478-3936
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK LN STE 618, SUGAR LAND, TX 77478-3936
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2697
TX
246ZC0007X
Surgical Assistant
Primary
3697
TX
Other
Enumeration date
11/01/2011
Last updated
05/03/2015
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