Individual
JUSTIN LOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 W ADAMS AVE, TEMPLE, TX 76504-2443
(254) 773-1226
(254) 773-1227
Mailing address
1103 W ADAMS AVE, TEMPLE, TX 76504-2443
(254) 773-1226
(254) 773-1227
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140634001
—
TX
05
—
140634002
—
TX
05
—
140634003
—
TX
Enumeration date
04/28/2011
Last updated
04/28/2011
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