Organization
JOHN EDWARD LOCKYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD LOCKYER DPM (PHYSICIAN/ OWNER)
(940) 325-0778
Entity
Organization
Contact information
Practice address
505 SW 1ST ST, MINERAL WELLS, TX 76067-5207
(940) 325-0778
(940) 328-1092
Mailing address
505 SW 1ST ST, MINERAL WELLS, TX 76067-5207
(940) 325-0778
(940) 328-1092
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1088P
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018629801
—
TX
01
—
5821061
AETNA
TX
01
—
8V1530
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/18/2007
Last updated
05/14/2014
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