Individual
DR. DANIEL T LOCKARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 BENT CREEK DR, SOUTHLAKE, TX 76092-9433
(817) 800-8303
(817) 481-8303
Mailing address
1315 BENT CREEK DR, SOUTHLAKE, TX 76092-9433
(817) 800-8303
(817) 481-8303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H3329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0673398
AETNA
—
05
—
0808974101
—
TX
05
—
1141384-05
—
TX
05
—
114138402
—
TX
01
—
89322B
BLUE SHIELD
—
Enumeration date
04/04/2006
Last updated
10/21/2011
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