Organization
LOCKWOOD PROFESSIONAL BLDG PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDIE BROWN (OPER MANG)
(832) 277-1503
Entity
Organization
Contact information
Practice address
4315 LOCKWOOD DR, HOUSTON, TX 77026-4117
(713) 672-2262
(713) 671-9941
Mailing address
4315 LOCKWOOD DR, HOUSTON, TX 77026-4117
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144816
—
TX
05
—
145311
—
TX
01
—
4501145
OTHER ID NUMBER
—
Enumeration date
10/31/2006
Last updated
07/10/2008
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